Organization
PEDIATRIC SPEECH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN COURTNEY KELLEY MA CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(720) 404-0570
Entity
Organization
Contact information
Practice address
286 CASPER DR, LAFAYETTE, CO 80026-9230
(720) 404-0570
(720) 208-0605
Mailing address
286 CASPER DR, LAFAYETTE, CO 80026-9230
(720) 404-0570
(720) 208-0605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12065235
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
587-77-865
—
CO
Enumeration date
08/31/2006
Last updated
08/22/2020
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