Doctor Name: | COLLEEN ANNE LAVELLE |
NPI Number: | 1720262876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 01077531 |
Business Practice Address: | 360 One Peak Drive Suite 190 Frisco, CO - 804430785 |
Business Phone Number: | 9706680888 |
Business Fax Number: | 9706680227 |
Mailing Address: | Po Box 785, FRISCO |
State: | CO |
Postal Code: | 804430785 |
Phone Number: | 9706680888 |
Fax Number: | 9706680227 |
NPI Enumeration Date: | 12/26/2007 |
NPI Last Update Date: | 12/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01077531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |