| NPI | 1144392861 |
|---|---|
| Doing Business As | THE SHANDY CLINIC |
| Entity Type | Organization |
| Authorized Contact | REBECCA NEWMAN Billing Manager 719-597-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 20051321398) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 103K00000X Behavior Analyst | |
| 225X00000X Occupational Therapist | |
| 103T00000X Psychologist | |
| 235Z00000X Speech-Language Pathologist, (Licence: 09122115) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-09-15 |