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MOUNTAIN SPROUTS SPEECH THERAPY LLC NPI 1669963997


NPI Information

NPI: 1669963997
Provider Name: MOUNTAIN SPROUTS SPEECH THERAPY, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 06D0515824

Address:
1251 GAY ST
LONGMONT, CO
ZIP 80501
Phone: (501) 454-1135
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MOUNTAIN SPROUTS SPEECH THERAPY, LLC is a speech language pathologist in Longmont, 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. MOUNTAIN SPROUTS SPEECH THERAPY, LLC NPI is 1669963997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1251 GAY ST
LONGMONT, CO
ZIP 80501-813
Phone: (501) 454-1135

The provider's authorized official is Whitney Jane Doramus .
The authorized official title is Speech Pathologist and has the following contact phone number (501) 454-1135.

The CLIA number assigned to this NPI record is 06D0515824 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2018 and was last updated on 5/22/2018.


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 PathologistYes

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: 4/28/2024

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