| Boulder Cognitive And Linguistic Center Inc | |
|
4251 Kipling St Unit 405, Wheat Ridge, CO 80033-6833 | |
| (303) 932-2030 | |
| Not Available |
| Full Name | Boulder Cognitive And Linguistic Center Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Medicine & Rehabilitation - Brain Injury Medicine |
| Location | 4251 Kipling St Unit 405, Wheat Ridge, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205215662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP.0002016 (Colorado) | Secondary |
| 2081P0301X | Physical Medicine & Rehabilitation - Brain Injury Medicine | (* (Not Available)) | Primary |
| Provider Name | Tonya L Fuller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720378425 PECOS PAC ID: 1254585490 Enrollment ID: I20130216000003 |
| Provider Name | Sarah M Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427208289 PECOS PAC ID: 8729227368 Enrollment ID: I20130612000129 |
| Provider Name | Christie Jenks Schwalbe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386074243 PECOS PAC ID: 1951538669 Enrollment ID: I20131227001674 |
| Provider Name | Kathryn A Reitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407143019 PECOS PAC ID: 2567788003 Enrollment ID: I20150227001901 |
| Provider Name | Allison R Gray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437388857 PECOS PAC ID: 2860654001 Enrollment ID: I20150827002467 |
| Provider Name | Jessica M Bandelier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093197592 PECOS PAC ID: 8123335486 Enrollment ID: I20150918000633 |
| Provider Name | Kelly A Gorman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801272778 PECOS PAC ID: 1052621935 Enrollment ID: I20151104002542 |
| Provider Name | Hilary B Booco |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316355365 PECOS PAC ID: 7911295829 Enrollment ID: I20161010000752 |
| Provider Name | Michelle G Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982012100 PECOS PAC ID: 5890017800 Enrollment ID: I20171023002307 |
| Provider Name | Mari A Gottlieb |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558852525 PECOS PAC ID: 0446597744 Enrollment ID: I20190124001610 |
| Provider Name | Katherine L Smulligan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992269237 PECOS PAC ID: 4981945706 Enrollment ID: I20190404001238 |
| Provider Name | Miranda Rose Bellantoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760949309 PECOS PAC ID: 3274874847 Enrollment ID: I20190408002658 |
| Provider Name | Sarah M Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386138246 PECOS PAC ID: 2668721796 Enrollment ID: I20200218000750 |
| Provider Name | Haley J Cozad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649871070 PECOS PAC ID: 4789075649 Enrollment ID: I20220103001991 |
| Provider Name | Dana C Fritschi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659029593 PECOS PAC ID: 2264827492 Enrollment ID: I20220324001571 |
| Provider Name | Hannah F Beach |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447866561 PECOS PAC ID: 7911394622 Enrollment ID: I20220428000008 |
| Provider Name | Benjamin Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740905926 PECOS PAC ID: 6608240817 Enrollment ID: I20230329001292 |
| Provider Name | Codi Kincaid |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285343681 PECOS PAC ID: 8729447230 Enrollment ID: I20230630001937 |
| Provider Name | Christopher Ketter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750764916 PECOS PAC ID: 8527372309 Enrollment ID: I20250604002657 |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Cognitive And Linguistic Center Inc 4251 Kipling St Unit 405, Wheat Ridge, CO 80033-6833 Ph: (303) 932-2030 | Boulder Cognitive And Linguistic Center Inc 4251 Kipling St Unit 405, Wheat Ridge, CO 80033-6833 Ph: (303) 932-2030 |