NPI | 1013278894 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA MILLICENT HAYES Speech Language Pathologist 719-337-0924 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 12019365) |
Enumeration Date | 2012-06-07 |
Last Update Date | 2012-06-07 |