Organization
PEDIATRIC SPEECH AND LANGUAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB JAMES VANWINKLE (OWNER)
(719) 377-2523
Entity
Organization
Contact information
Practice address
1817 AUSTIN BLUFFS PKWY # 110, COLORADO SPRINGS, CO 80918-7829
(719) 377-2523
(719) 355-8452
Mailing address
1817 AUSTIN BLUFFS PKWY # 110, COLORADO SPRINGS, CO 80918-7829
(719) 377-2523
(719) 355-8452
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12140923
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86072579
—
CO
Enumeration date
03/29/2012
Last updated
06/05/2025
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