Healthcare Provider Details

I. General information

NPI: 1134959364
Provider Name (Legal Business Name): MONTVIEW SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 QUINCE ST
DENVER CO
80220-1932
US

IV. Provider business mailing address

1901 QUINCE ST
DENVER CO
80220-1932
US

V. Phone/Fax

Practice location:
  • Phone: 607-353-2510
  • Fax:
Mailing address:
  • Phone: 607-353-2510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHAWN DAVID WHITE
Title or Position: SOLE OWNER
Credential: CCC-SLP
Phone: 607-353-2510