MEDICARE: KATE TOTCH 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

General Provider Information

NPI Number	:	1619174000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE TOTCH CCC-SLP

Provider Business Mailing Address
First Line	:	3700 QUEBEC ST UNIT 100-337
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-1638
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1958 ELM ST RM 310311
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-1247
Country	:	US
Telephone Number	:	303-333-4982
Fax Number	:

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

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	09/13/2010

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Directions to “ KATE TOTCH CCC-SLP” Practice Location

Language	Start Address	Practice Location

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