Pebbles Pediatric Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0002443 Issued in CO

Legal business name

PEBBLES PEDIATRIC SPEECH THERAPY

Practice address

2150 W 29TH Ave
Suite 340
Denver, CO 80211-3844

Phone

(206) 330-1267

NPI assigned

Aug 10, 2016

Last updated

Aug 10, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emma Roberts, M.S., CCC-SLP

Title

Speech-Language Pathologist

Phone

(206) 330-1267

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1841744679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 W 34TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113516",
            "telephone_number": "206-330-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W 29TH AVE",
            "address_2": "SUITE 340",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113844",
            "telephone_number": "206-330-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEBBLES PEDIATRIC SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "206-330-1267",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayne Oak Pearson
• Danielle Delina Ludwig Pease, LCSW, LICSW
• Carmen Chelsea Peason, BCBA
• Christopher Jay Peavey, PSYD
• Helen Ann Peavler I, LPN
• Nathan Pecha, OD
• Sanford Dennis Peck, MD
• Anangamanjari Pedapudi, MD
• Chitra Chauhan Peddada, M.D.
• Taylor Michael Pedego, DDS

• Speech-Language Pathologist in Denver, CO
• Providers in Denver, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.