Provider Demographics
NPI:1427660570
Name:LIVE THE DREAM SPEECH AND LANGUAGE LLC
Entity type:Organization
Organization Name:LIVE THE DREAM SPEECH AND LANGUAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCGANN
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:720-255-5099
Mailing Address - Street 1:1801 BASSETT ST APT 409
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1014
Mailing Address - Country:US
Mailing Address - Phone:720-255-5099
Mailing Address - Fax:
Practice Address - Street 1:1801 BASSETT ST APT 1-409
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1011
Practice Address - Country:US
Practice Address - Phone:720-255-5099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty