1952539611 NPI number — CENTER FOR COMMUNICATIVE DISORDERS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952539611 NPI number — CENTER FOR COMMUNICATIVE DISORDERS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTER FOR COMMUNICATIVE DISORDERS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952539611
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/30/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
66 W SPRINGER DR.
Provider Second Line Business Mailing Address:
#202
Provider Business Mailing Address City Name:
HIGHLANDS RANCH
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80129
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-795-5959
Provider Business Mailing Address Fax Number:
303-688-8264

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
66 SPRINGER DR
Provider Second Line Business Practice Location Address:
#202
Provider Business Practice Location Address City Name:
HIGHLANDS RANCH
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80129-2316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-795-5959
Provider Business Practice Location Address Fax Number:
303-795-5959
Provider Enumeration Date:
07/01/2009

Additional Information

Authorized Official

Authorized Official Last Name:
PRESHAW
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
SUE
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
303-795-5959

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 07948698 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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