Provider Demographics
NPI:1720978760
Name:THE SPEECH AND LANGUAGE CENTER
Entity type:Organization
Organization Name:THE SPEECH AND LANGUAGE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-347-2725
Mailing Address - Street 1:760 WHALERS WAY STE A110
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3308
Mailing Address - Country:US
Mailing Address - Phone:970-495-1150
Mailing Address - Fax:
Practice Address - Street 1:760 WHALERS WAY STE A110
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3308
Practice Address - Country:US
Practice Address - Phone:970-495-1150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty