Individual ProviderKristen Scully VitaleSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address5776 S Crocker St, Littleton, CO 80120-2012(303) 347-3300(303) 641-1208PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Scully Vitale 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 ID1508630468Provider TypeIndividualFull NameScully Vitale, KristenGenderFemaleSole ProprietorNoEnumeration Date11/10/2023Last Updated11/10/2023Contact InformationPractice LocationPractice Address5776 S Crocker St, Littleton, CO 80120-2012Phone(303) 347-3300FaxUnlisted FaxMailing LocationMailing Address3135 S Grant St, Englewood, CO 80113-2604Phone(303) 641-1208FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted IssuerCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSLP.0001168Colorado