Organization
PEDIATRIC SPEECH THERAPY ASSOCIATES
Active
Other names
Summit Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN SHEPHERD (PRESIDENT)
(720) 542-8737
Entity
Organization
Contact information
Practice address
12110 PECOS ST STE 250, WESTMINSTER, CO 80234-2047
(720) 542-8737
(720) 242-8085
Mailing address
6851 S HOLLY CIR STE 295, CENTENNIAL, CO 80112-1019
(720) 542-8737
(720) 242-8085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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