Provider Demographics
NPI:1326651977
Name:BECKELHYMER, LISA MURATORE (SLP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MURATORE
Last Name:BECKELHYMER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 ARAPAHOE AVE UNIT 419
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1396
Mailing Address - Country:US
Mailing Address - Phone:720-773-2325
Mailing Address - Fax:
Practice Address - Street 1:3701 ARAPAHOE AVE UNIT 419
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1396
Practice Address - Country:US
Practice Address - Phone:720-773-2325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSLP.0000580235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist