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NORTHERN COLORADO SPEECH THERAPY LLC NPI 1265977714


NPI Information

NPI: 1265977714
Provider Name: NORTHERN COLORADO SPEECH THERAPY, LLC
Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
6801 W 20TH ST UNIT 212
GREELEY, CO
ZIP 80634
Phone: (970) 301-4206
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NORTHERN COLORADO SPEECH THERAPY, LLC is a hearing and speech clinic center in Greeley, CO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. NORTHERN COLORADO SPEECH THERAPY, LLC NPI is 1265977714. The provider is registered as an organization entity type.

The provider's business location address is:

6801 W 20TH ST UNIT 212
GREELEY, CO
ZIP 80634-640
Phone: (970) 301-4206
Fax: (970) 330-3956

The provider's authorized official is Sarah Louise Pofahl .
The authorized official title is Ceo and has the following contact phone number (970) 301-4206.

The enumeration date for this NPI number is 12/19/2016 and was last updated on 3/20/2023.


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
1261QH0700XClinic/CenterHearing and Speech1083COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
136620777MEDICAIDCOLORADO

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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