Provider Demographics
NPI:1699226092
Name:HORIZONS SPEECH AND LANGUAGE THERAPIES
Entity Type:Organization
Organization Name:HORIZONS SPEECH AND LANGUAGE THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:DALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-907-5482
Mailing Address - Street 1:7475 W 5TH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1674
Mailing Address - Country:US
Mailing Address - Phone:303-907-5482
Mailing Address - Fax:866-779-7589
Practice Address - Street 1:7475 W 5TH AVE STE 203
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1674
Practice Address - Country:US
Practice Address - Phone:303-907-5482
Practice Address - Fax:866-779-7589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO01044457235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO24402851Medicaid
CO27767Medicare PIN