Mary Lou Acimovic, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3015 47TH St
Suite E3
Boulder, CO 80301-5411

Phone

(303) 449-2974

Fax

(970) 221-3730

NPI assigned

May 27, 2006

Last updated

Jun 11, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1902853898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2086",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805222086",
            "telephone_number": "303-444-3443",
            "fax_number": "970-221-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 47TH ST",
            "address_2": "SUITE E3",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015411",
            "telephone_number": "303-449-2974",
            "fax_number": "970-221-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACIMOVIC",
        "first_name": "MARY LOU",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Boulder, CO
• Providers in Boulder, 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 Jun 11, 2009; 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.