Aubrey Davidson

Individual provider Active NPI Speech-Language Pathologist · Peyton, CO

NPI 1104511740 · NPPES record last updated Apr 10, 2023

Key facts

NPI
1104511740
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
10850 E Woodmen Rd
Peyton, CO 80831-8127
Phone
(719) 495-1100
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Colorado School District 49 Current
since Apr 16, 2023
Accepting new patients

Locations

10850 E Woodmen Rd
Peyton, CO 80831
Phone (719) 485-1100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

10850 E Woodmen Rd
Peyton, CO 80831-8127

Mailing address

6370 Black Ridge VW Apt 204
Colorado Springs, CO 80924-4435
Phone (970) 415-0673

Other providers in Peyton, CO

All providers in Peyton, CO · Speech-Language Pathologist in Colorado

Sources for this page

Verify at the official NPI Registry.