Provider Demographics
NPI:1437678745
Name:KOLO, LYNSEY KATHERINE (MSP, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:LYNSEY
Middle Name:KATHERINE
Last Name:KOLO
Suffix:
Gender:F
Credentials:MSP, CCC-SLP
Other - Prefix:MISS
Other - First Name:LYNSEY
Other - Middle Name:KATHERINE
Other - Last Name:KOLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSP, CCC-SLP
Mailing Address - Street 1:1860 N LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-7300
Mailing Address - Country:US
Mailing Address - Phone:720-423-3200
Mailing Address - Fax:
Practice Address - Street 1:1860 N LINCOLN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2996
Practice Address - Country:US
Practice Address - Phone:720-423-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24495363235Z00000X
NM412290235Z00000X
NMSLP7747235Z00000X
FLSA15468235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist