Provider Demographics
NPI:1205420833
Name:SPEECH CONNECTIONS COLORADO, LLC
Entity type:Organization
Organization Name:SPEECH CONNECTIONS COLORADO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMESTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-542-6704
Mailing Address - Street 1:9490 W 104TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3643
Mailing Address - Country:US
Mailing Address - Phone:563-542-6704
Mailing Address - Fax:
Practice Address - Street 1:9490 W 104TH AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-3643
Practice Address - Country:US
Practice Address - Phone:563-542-6704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2022-07-21
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
NAOtherI DONT HAVE ONE