Provider Demographics
NPI:1184848699
Name:CENTER FOR CHILDREN'S SPEECH-LANGUAGE DISORDERS, INC.
Entity Type:Organization
Organization Name:CENTER FOR CHILDREN'S SPEECH-LANGUAGE DISORDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, SPEECH-LANG PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:R
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:303-971-0411
Mailing Address - Street 1:6336 S BENTON WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-6810
Mailing Address - Country:US
Mailing Address - Phone:303-971-0411
Mailing Address - Fax:303-797-0407
Practice Address - Street 1:5125 S KIPLING ST
Practice Address - Street 2:SUITE 205
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1768
Practice Address - Country:US
Practice Address - Phone:303-971-0411
Practice Address - Fax:303-797-0407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty