Healthcare Provider Details

I. General information

NPI: 1942465943
Provider Name (Legal Business Name): COLORADO SPEECH THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2008
Last Update Date: 07/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21521 E POWERS CIR N
CENTENNIAL CO
80015-3365
US

IV. Provider business mailing address

PO BOX 470746
AURORA CO
80047-0746
US

V. Phone/Fax

Practice location:
  • Phone: 303-949-0351
  • Fax: 303-617-3751
Mailing address:
  • Phone: 303-949-0351
  • Fax: 303-617-3751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN A. BARTA
Title or Position: SPEECH-LANGUAGE PATHOLOGIST/OWNER
Credential: MS/CCC-SLP
Phone: 303-949-0351