Provider Demographics
NPI:1992349096
Name:DENVER SPEECH AND LANGUAGE, INC.
Entity type:Organization
Organization Name:DENVER SPEECH AND LANGUAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNE
Authorized Official - Middle Name:QUINN
Authorized Official - Last Name:LAY
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:303-996-6510
Mailing Address - Street 1:4271 LOWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-1656
Mailing Address - Country:US
Mailing Address - Phone:303-996-6510
Mailing Address - Fax:303-996-6511
Practice Address - Street 1:7400 W QUINCY AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1202
Practice Address - Country:US
Practice Address - Phone:303-996-6510
Practice Address - Fax:303-996-6511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-31
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO17129541Medicaid