MEDICARE: FACE TO FACE COMMUNICATION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1124816681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FACE TO FACE COMMUNICATION, LLC

Provider Business Mailing Address
First Line	:	395 RIDGES BLVD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-4630
Country	:	US
Telephone Number	:	970-812-3828
Fax Number	:	970-807-0765

Provider Business Practice Location Address
First Line	:	395 RIDGES BLVD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-4630
Country	:	US
Telephone Number	:	970-812-3828
Fax Number	:	970-807-0765

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MILTON BRET MIXON
Credential	:	BCBA, CCC-SLP
Telephone Number	:	970-812-3828

Provider Enumeration Date	:	04/25/2025
Last Update Date	:	04/25/2025

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Directions to “FACE TO FACE COMMUNICATION, LLC ” Practice Location

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