Provider Demographics
NPI:1104169937
Name:SPEECH-LANGUAGE ASSOCIATES
Entity type:Organization
Organization Name:SPEECH-LANGUAGE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:BEBEE
Authorized Official - Last Name:KEENER
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:303-664-0567
Mailing Address - Street 1:171 JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1220
Mailing Address - Country:US
Mailing Address - Phone:303-664-0567
Mailing Address - Fax:303-604-4695
Practice Address - Street 1:489 US HIGHWAY 287
Practice Address - Street 2:SUITE 201
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8899
Practice Address - Country:US
Practice Address - Phone:303-926-4215
Practice Address - Fax:303-604-4695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty