MEDICARE: CREATIVE STRATEGIES INC.

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	:	1942714944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATIVE STRATEGIES INC.

Provider Business Mailing Address
First Line	:	2060 FLORAL DR
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-2738
Country	:	US
Telephone Number	:	650-387-3679
Fax Number	:

Provider Business Practice Location Address
First Line	:	2060 FLORAL DR
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-2738
Country	:	US
Telephone Number	:	650-387-3679
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CATHARINE LAUDERBAUGH
Credential	:	MA, CCC-SLP
Telephone Number	:	720-441-2371

Provider Enumeration Date	:	11/29/2017
Last Update Date	:	12/27/2017

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Directions to “CREATIVE STRATEGIES INC. ” Practice Location

Language	Start Address	Practice Location

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