Provider Demographics
NPI:1851594816
Name:LEVISOHN, RUTH LYNN (MA,SLP)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:LYNN
Last Name:LEVISOHN
Suffix:
Gender:F
Credentials:MA,SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7935 E PRENTICE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2711
Mailing Address - Country:US
Mailing Address - Phone:303-756-0280
Mailing Address - Fax:303-756-6059
Practice Address - Street 1:7935 E PRENTICE AVE STE 104
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2711
Practice Address - Country:US
Practice Address - Phone:303-756-0280
Practice Address - Fax:303-756-6059
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COASHA 00120634235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist