MEDICARE: CATHERINE C LEVY M.A., CCC-SLP

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	14083800

General Provider Information

NPI Number	:	1427617075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE C LEVY M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	2270 KRAMERIA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-3931
Country	:	US
Telephone Number	:	303-562-8801
Fax Number	:

Provider Business Practice Location Address
First Line	:	1677 TRENTON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-2044
Country	:	US
Telephone Number	:	913-526-5263
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2019
Last Update Date	:	06/07/2019

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Directions to “ CATHERINE C LEVY M.A., CCC-SLP” Practice Location

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