Provider Demographics
NPI:1427617075
Name:LEVY, CATHERINE C (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:C
Last Name:LEVY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 KRAMERIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-3931
Mailing Address - Country:US
Mailing Address - Phone:303-562-8801
Mailing Address - Fax:
Practice Address - Street 1:1677 TRENTON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-2044
Practice Address - Country:US
Practice Address - Phone:913-526-5263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14083800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist