Provider Demographics
NPI:1194406967
Name:MCCUTCHAN, SAVANNAH (MS CCC- SLP)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:
Last Name:MCCUTCHAN
Suffix:
Gender:F
Credentials:MS CCC- SLP
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Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C/O AAC SPECIALISTS, LLC
Mailing Address - Street 2:1885 CHERRYVILLE ROAD
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80121-1504
Mailing Address - Country:US
Mailing Address - Phone:303-204-5188
Mailing Address - Fax:303-761-9491
Practice Address - Street 1:C/O AAC SPECIALISTS, LLC
Practice Address - Street 2:1885 CHERRYVILLE ROAD
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80121-1504
Practice Address - Country:US
Practice Address - Phone:303-204-5188
Practice Address - Fax:303-761-9491
Is Sole Proprietor?:No
Enumeration Date:2023-07-26
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPSLP.0001156235Z00000X
14448499235Z00000X
COSLP.0005963235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist