Organization Name: | SPEECH LANGUAGE PAL, LLC |
NPI Number: | 1720372535 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALISON M. VANLEEUWEN (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 5125 Ute Hwy Longmont |
State: | CO US |
Postal Code: | 805039128 |
Phone Number: | 3035484795 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2011 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01110546 |
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 |