Healthcare Provider Details

I. General information

NPI: 1972313559
Provider Name (Legal Business Name): STEVEN LEE PATIENT M.S. CCC-SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 N LINCOLN ST
DENVER CO
80203-2996
US

IV. Provider business mailing address

1860 N LINCOLN ST
DENVER CO
80203-2996
US

V. Phone/Fax

Practice location:
  • Phone: 720-423-3200
  • Fax:
Mailing address:
  • Phone: 720-423-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number24419702
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: