| NPI | 1104281906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GUIDA Speech Language Pathologist 970-214-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |