Olivia Reiser
Individual provider Active NPI Speech-Language Pathologist · Leadville, CO
NPI 1881401263 · NPPES record last updated Dec 18, 2024
Key facts
- NPI
- 1881401263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 24487458 (CO)
- Practice address
- 328 W 5TH St
Leadville, CO 80461-3547 - Phone
- (719) 486-6800
- NPI assigned
- Dec 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 24487458 | CO | MD | Speech-Language Pathologist |
| PSLP.0001383 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake County School District R-1 | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PSLP.0001383 | CO | |
| Speech-Language Pathologist | 235Z00000X | 24487458 | CO | Yes |
Addresses
Primary practice location
328 W 5TH St
Leadville, CO 80461-3547
Mailing address
328 W 5TH St
Leadville, CO 80461-3547
Phone (719) 486-6800
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All providers in Leadville, 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 Dec 18, 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.