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KID CREW LLC NPI 1255567194


NPI Information

NPI: 1255567194
Provider Name: KID CREW, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1150 MAXWELL AVE
BOULDER, CO
ZIP 80304
Phone: (303) 330-6411
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KID CREW, LLC is a speech language pathologist in Boulder, CO. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. KID CREW, LLC NPI is 1255567194. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1150 MAXWELL AVE
BOULDER, CO
ZIP 80304-185
Phone: (303) 330-6411

The provider's authorized official is Jenny Ricks .
The authorized official title is Sole Proprietor and has the following contact phone number (303) 330-6411.

The enumeration date for this NPI number is 6/5/2009 and was last updated on 6/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist12091959Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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