Provider Demographics
NPI:1427229525
Name:SPEECH-LANGUAGE PATHOLOGY ACCESS, INC.
Entity Type:Organization
Organization Name:SPEECH-LANGUAGE PATHOLOGY ACCESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGRO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:970-331-4001
Mailing Address - Street 1:PO BOX 5965
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81658-5965
Mailing Address - Country:US
Mailing Address - Phone:970-331-3001
Mailing Address - Fax:970-845-9603
Practice Address - Street 1:82 E BEAVER CREEK BLVD
Practice Address - Street 2:STE 103
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620-0000
Practice Address - Country:US
Practice Address - Phone:970-331-4001
Practice Address - Fax:970-845-9603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12026273235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty