Healthcare Provider Details

I. General information

NPI: 1245153048
Provider Name (Legal Business Name): LIFESPAN ASSESSMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4645 18TH ST STE 200
GREELEY CO
80634-3227
US

IV. Provider business mailing address

4645 18TH ST STE 200
GREELEY CO
80634-3227
US

V. Phone/Fax

Practice location:
  • Phone: 970-639-5863
  • Fax: 970-301-3954
Mailing address:
  • Phone: 970-639-5863
  • Fax: 970-301-3954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARAH POFAHL
Title or Position: OWNER
Credential: MS CCC-SLP
Phone: 970-639-5863