Organization
PEDIATRIC SPEECH THERAPY ASSOCIATES
Active
Parent organization
PEDIATRIC SPEECH THERAPY ASSOCIATES
Other names
Summit Pediatric Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC SPEECH THERAPY ASSOCIATES
Authorized official
MRS. JESSICA LARKIN SHEPHERD M.S., CCC/SLP (SPEECH/LANGUAGE PATHOLOGIST)
(720) 542-8737
Entity
Organization
Contact information
Practice address
6155 S MAIN ST STE 200, AURORA, CO 80016-5405
(720) 542-8737
(720) 242-8085
Mailing address
6155 S MAIN ST STE 200, AURORA, CO 80016-5405
(720) 542-8737
(720) 242-8085
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
CO
Other
Enumeration date
08/26/2011
Last updated
01/12/2022
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