Provider Demographics
NPI:1639917701
Name:LEE, SYDNEY KATE (CF-SLP)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:KATE
Last Name:LEE
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 W COLFAX AVE APT 237
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2259
Mailing Address - Country:US
Mailing Address - Phone:804-432-4083
Mailing Address - Fax:
Practice Address - Street 1:701 PRAIRIE HAWK DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8001
Practice Address - Country:US
Practice Address - Phone:303-387-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSLP.0001280235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist