Provider Demographics
NPI:1598178410
Name:ELIZABETH STRAKA SPEECH ASSOCIATES
Entity Type:Organization
Organization Name:ELIZABETH STRAKA SPEECH ASSOCIATES
Other - Org Name:STRAKA SPEECH CASTLE ROCK
Other - Org Type:Other Name
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:EMILIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAKA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:720-398-8806
Mailing Address - Street 1:516 W BIJOU ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-1311
Mailing Address - Country:US
Mailing Address - Phone:719-633-9114
Mailing Address - Fax:719-329-0495
Practice Address - Street 1:815 S PERRY ST
Practice Address - Street 2:200
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-3375
Practice Address - Country:US
Practice Address - Phone:720-398-8806
Practice Address - Fax:720-533-6137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0004886225XP0200X
COSLP.0000702235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty