Provider Demographics
NPI:1861519936
Name:MAYS, KATHLEEN LOUISE (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:LOUISE
Last Name:MAYS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4765 S IRELAND CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6604
Mailing Address - Country:US
Mailing Address - Phone:605-431-8401
Mailing Address - Fax:
Practice Address - Street 1:15701 E 1ST AVE STE 106
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-9037
Practice Address - Country:US
Practice Address - Phone:303-344-8060
Practice Address - Fax:303-326-1280
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO24376836OtherDEPARTMENT OF EDUCATION
12018449OtherASHA - CCC
COSPL.0002069OtherSPEECH LICENSE (DORA)
SD5834230Medicaid
SD65153-00OtherSCHOOL SERVICE SPECIALIST