Provider Demographics
NPI:1881983013
Name:MATTHEWS, DENISE ANN (SLP)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:ANN
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:ANN
Other - Last Name:PETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:1110 CHAPEL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3923
Mailing Address - Country:US
Mailing Address - Phone:719-234-1200
Mailing Address - Fax:
Practice Address - Street 1:1110 CHAPEL HILLS DR # 104
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3923
Practice Address - Country:US
Practice Address - Phone:719-234-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO262705235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist