Healthcare Provider Details

I. General information

NPI: 1194406967
Provider Name (Legal Business Name): SAVANNAH MCCUTCHAN MS CCC- SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 06/21/2024
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C/O AAC SPECIALISTS, LLC 1885 CHERRYVILLE ROAD
GREENWOOD VILLAGE CO
80121-1504
US

IV. Provider business mailing address

C/O AAC SPECIALISTS, LLC 1885 CHERRYVILLE ROAD
GREENWOOD VILLAGE CO
80121-1504
US

V. Phone/Fax

Practice location:
  • Phone: 303-204-5188
  • Fax: 303-761-9491
Mailing address:
  • Phone: 303-204-5188
  • Fax: 303-761-9491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberPSLP.0001156
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14448499
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.0005963
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: