Provider Demographics
NPI:1952539611
Name:CENTER FOR COMMUNICATIVE DISORDERS, INC.
Entity type:Organization
Organization Name:CENTER FOR COMMUNICATIVE DISORDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:PRESHAW
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC COM SP
Authorized Official - Phone:303-795-5959
Mailing Address - Street 1:66 W SPRINGER DR.
Mailing Address - Street 2:#202
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129
Mailing Address - Country:US
Mailing Address - Phone:303-795-5959
Mailing Address - Fax:303-688-8264
Practice Address - Street 1:66 SPRINGER DR
Practice Address - Street 2:#202
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2316
Practice Address - Country:US
Practice Address - Phone:303-795-5959
Practice Address - Fax:303-795-5959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07948698Medicaid
CO07948698Medicaid