Provider Demographics
NPI:1417048992
Name:LAUTENSCHLAGER, JAMES PAUL II (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:LAUTENSCHLAGER
Suffix:II
Gender:M
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 OWL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-1529
Mailing Address - Country:US
Mailing Address - Phone:719-278-9009
Mailing Address - Fax:
Practice Address - Street 1:1505 OWL RIDGE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-1529
Practice Address - Country:US
Practice Address - Phone:719-278-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12093735235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist