Healthcare Provider Details

I. General information

NPI: 1922939636
Provider Name (Legal Business Name): SPEAK EASY SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16105 ROAD 18
CORTEZ CO
81321-8735
US

IV. Provider business mailing address

16105 ROAD 18
CORTEZ CO
81321-8735
US

V. Phone/Fax

Practice location:
  • Phone: 970-903-8638
  • Fax:
Mailing address:
  • Phone:
  • 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: ASHLEY STEPHENS
Title or Position: SLP
Credential: CCC-SLP
Phone: 970-903-8638