| NPI | 1053698886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MORTENSEN Speech Language Pathologist 720-951-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |