| Autistic Therapy Center | |
|
317 W South Boulder Rd Suite 2 Louisville CO 80027-1289 | |
| (303) 554-5394 | |
| Not Available |
| Full Name | Autistic Therapy Center |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 317 W South Boulder Rd, Louisville, Colorado |
| Authorized Official Name and Position | Steven Paul Goldstein (PRESIDENT) |
| Authorized Official Contact | 3034990834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autistic Therapy Center 317 W South Boulder Rd Suite 2 Louisville CO 80027-1289 Ph: (303) 554-5394 | Autistic Therapy Center 317 W South Boulder Rd Suite 2 Louisville CO 80027-1289 Ph: (303) 554-5394 |
| NPI Number | 1265650485 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265650485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 991593 (Colorado) | Primary |
| 235Z00000X | Speech-language Pathologist | 01114367 (Colorado) | Primary |
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