Provider Demographics
NPI:1275078867
Name:SPEECH-LANGUAGE AND ASSISTIVE TECHNOLOGY SERVICES LLC
Entity Type:Organization
Organization Name:SPEECH-LANGUAGE AND ASSISTIVE TECHNOLOGY SERVICES LLC
Other - Org Name:SLATS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/MEMBER/SERVICE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:EMERY-HENDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:303-842-6349
Mailing Address - Street 1:8337 SCARBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7165
Mailing Address - Country:US
Mailing Address - Phone:303-842-6349
Mailing Address - Fax:
Practice Address - Street 1:421 N MAIN ST
Practice Address - Street 2:SUITE 402
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-3196
Practice Address - Country:US
Practice Address - Phone:303-842-6349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000791235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty