Provider Demographics
NPI:1306215785
Name:LEKICH, ALLISON (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:LEKICH
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 N 1ST AVE
Mailing Address - Street 2:SUITE 190
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-1637
Mailing Address - Country:US
Mailing Address - Phone:303-657-4090
Mailing Address - Fax:
Practice Address - Street 1:21 N 1ST AVE
Practice Address - Street 2:SUITE 190
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-1637
Practice Address - Country:US
Practice Address - Phone:303-657-4090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0002211235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist