Provider Demographics
NPI:1427571090
Name:GEDDES THERAPIES
Entity Type:Organization
Organization Name:GEDDES THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEDDES
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:720-560-1017
Mailing Address - Street 1:7501 VILLAGE SQUARE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3708
Mailing Address - Country:US
Mailing Address - Phone:720-560-1017
Mailing Address - Fax:720-886-9158
Practice Address - Street 1:7501 VILLAGE SQUARE DR STE 201
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-3708
Practice Address - Country:US
Practice Address - Phone:720-560-1017
Practice Address - Fax:720-886-9158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001166235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty