Provider Demographics
NPI:1417256355
Name:SPEAK.LEARN.PLAY.LLC
Entity Type:Organization
Organization Name:SPEAK.LEARN.PLAY.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GSCHWENDTNER
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:720-317-7802
Mailing Address - Street 1:4143 KNOX CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-1653
Mailing Address - Country:US
Mailing Address - Phone:720-317-7802
Mailing Address - Fax:720-230-7224
Practice Address - Street 1:4143 KNOX CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1653
Practice Address - Country:US
Practice Address - Phone:720-317-7802
Practice Address - Fax:720-230-7224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12120100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty