| NPI | 1023702107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLIE CAMPOS Speech Language Pathologist 720-772-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-16 |