Healthcare Provider Details

I. General information

NPI: 1366382343
Provider Name (Legal Business Name): DUCKLINGS PEDIATRIC SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 E FREMONT PL UNIT 303
CENTENNIAL CO
80122-1071
US

IV. Provider business mailing address

260 E FREMONT PL UNIT 303
CENTENNIAL CO
80122-1071
US

V. Phone/Fax

Practice location:
  • Phone: 816-519-3999
  • Fax:
Mailing address:
  • Phone: 816-519-3999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ANNE PARHAM
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: M.S. CCC-SLP
Phone: 816-519-3999