Provider Demographics
NPI:1730669391
Name:COPUS, LINDSEY (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:
Last Name:COPUS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:SPOONER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CFY-SLP
Mailing Address - Street 1:6268 CASTLEGATE DR W APT 13204
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-8678
Mailing Address - Country:US
Mailing Address - Phone:517-918-1392
Mailing Address - Fax:
Practice Address - Street 1:6268 CASTLEGATE DR W APT 13204
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-8678
Practice Address - Country:US
Practice Address - Phone:517-918-1392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0003913235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist