OrganizationShine Speech Language Pathology LlcSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address209 Nelson St, Erie, CO 80516-2516(303) 596-4113PECOS EnrollmentBased on the most recent information from CMS, provider Shine Speech Language Pathology Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1073998324Provider TypeOrganizationFull NameShine Speech Language Pathology LlcSubpartNoEnumeration Date7/28/2015Last Updated7/28/2015Contact InformationPractice LocationPractice Address209 Nelson St, Erie, CO 80516-2516Phone(303) 596-4113FaxUnlisted FaxMailing LocationMailing Address209 Nelson St, Erie, CO 80516-2516Phone(303) 596-4113FaxUnlisted FaxAuthorized OfficialNameChristianson, Charlene (Owner)Phone(303) 596-4113Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense0000368Colorado