Lisa Aitken, MS CCC-SLP

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

NPI 1740760586 · NPPES record last updated Nov 4, 2022

Key facts

NPI
1740760586
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP.0004797 (CO)
Practice address
6801 W 20TH St Unit 212
Greeley, CO 80634-9640
Phone
(970) 301-4206
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP.0004797COMDSpeech-Language Pathologist
SLP6561NMMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X SLP6561 NM
Speech-Language Pathologist 235Z00000X SLP.0004797 CO Yes

Addresses

Primary practice location

6801 W 20TH St Unit 212
Greeley, CO 80634-9640

Mailing address

6801 W 20TH St Unit 212
Greeley, CO 80634-9640

Other providers in Greeley, CO

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

Sources for this page

Verify at the official NPI Registry.