| Organization Name: | CHILDRENS THERAPY SERVICES OF COLORADO LLC |
| NPI Number: | 1649513284 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TISA MARIE VAN DYKE (PRESIDENT) |
| Mailing Address: | 2622 E 137th Ave Thornton |
| State: | CO US |
| Postal Code: | 806027238 |
| Phone Number: | 7202128156 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2013 |
| NPI Last Update Date: | 04/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |