Healthcare Provider Details
I. General information
NPI: 1639012610
Provider Name (Legal Business Name): BANTER SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
42373 GLEN ABBEY DR
ELIZABETH CO
80107-8632
US
IV. Provider business mailing address
42373 GLEN ABBEY DR
ELIZABETH CO
80107-8632
US
V. Phone/Fax
- Phone: 720-333-0200
- Fax:
- Phone: 720-333-0200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHAYNA
HUGHES
Title or Position: SPEECH LANGUAGE PATHOLOGISTS
Credential: CCC-SLP
Phone: 720-333-0200