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NPI Code Detail

MEDICARE: RUTH LYNN LEVISOHN M.A.,S.L.P.

MEDICARE: RUTH LYNN LEVISOHN M.A.,S.L.P.
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
1235Z00000XSpeech-Language PathologistASHA 00120634CO

General Provider Information

NPI Number : 1851594816
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH LYNN LEVISOHN M.A.,S.L.P.
Provider Business Mailing Address
First Line : 7935 E PRENTICE AVE STE 104
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-2711
Country : US
Telephone Number : 303-756-0280
Fax Number : 303-756-6059
Provider Business Practice Location Address
First Line : 7935 E PRENTICE AVE STE 104
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-2711
Country : US
Telephone Number : 303-756-0280
Fax Number : 303-756-6059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2007
Last Update Date : 03/17/2018

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