Individual ProviderDevon ChisholmSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address134 Jackson Dr, Erie, CO 80516-3643(303) 827-4368(303) 579-8098PECOS EnrollmentBased on the most recent information from CMS, provider Devon Chisholm 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 ID1962832634Provider TypeIndividualFull NameChisholm, DevonCredentialM.A., CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date11/18/2013Last Updated8/25/2021Contact InformationPractice LocationPractice Address134 Jackson Dr, Erie, CO 80516-3643Phone(303) 827-4368FaxUnlisted FaxMailing LocationMailing Address671 Mitchell Way Ste 117, Erie, CO 80516-5444Phone(303) 579-8098FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense0001197Colorado