Provider Demographics
NPI:1154538130
Name:MCCUMISKEY, LORI (MA, CCC-A)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:MCCUMISKEY
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON ST
Mailing Address - Street 2:#403
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3361
Mailing Address - Country:US
Mailing Address - Phone:720-563-9854
Mailing Address - Fax:
Practice Address - Street 1:8321 SANGRE DE CRISTO RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6425
Practice Address - Country:US
Practice Address - Phone:303-984-4414
Practice Address - Fax:303-984-6244
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD453231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO453OtherSTATE LICENSE