| NPI | 1124662903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CARNES Speech Language Pathologist 303-506-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |