Provider Demographics
NPI:1144679747
Name:RUTH LEVISOHN & ASSOCIATES LLC
Entity type:Organization
Organization Name:RUTH LEVISOHN & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVISOHN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:303-756-0280
Mailing Address - Street 1:7935 E PRENTICE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2708
Mailing Address - Country:US
Mailing Address - Phone:303-756-0280
Mailing Address - Fax:
Practice Address - Street 1:7935 E PRENTICE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2708
Practice Address - Country:US
Practice Address - Phone:303-756-0280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0000009235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty