Organization
ICAN PLAY, LLC
Active
Other names
I Can
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RIAT MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/CO-OWNE)
(913) 439-0524
Entity
Organization
Contact information
Practice address
3451 S ELM ST, DENVER, CO 80222-7314
19134390524
Mailing address
3451 S ELM ST, DENVER, CO 80222-7314
19134390524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP.0001910
CO
251S00000X
Community/Behavioral Health Agency
Primary
52439
CO
252Y00000X
Early Intervention Provider Agency
52439
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52437
COLORADO DEPARTMENT OF EDUCATION
CO
05
—
68209339
—
CO
Enumeration date
06/27/2017
Last updated
06/27/2017
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