Travis Althouse
Individual provider Active NPI Speech-Language Pathologist · Boulder, CO
NPI 1073379855 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1073379855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP.0005784 (CO)
- Practice address
- 6610 Gunpark Dr Ste 103
Boulder, CO 80301-3579 - Phone
- (303) 530-9191
- NPI assigned
- Feb 28, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.0005784 | CO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP.0005784 | CO | Yes |
Addresses
Primary practice location
6610 Gunpark Dr Ste 103
Boulder, CO 80301-3579
Mailing address
1830 W Centennial Dr Unit 206
Louisville, CO 80027-1274
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All providers in Boulder, CO · Speech-Language Pathologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.