NPI | 1154708824 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE UNDERHILL Owner 970-685-0688 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0577) |
Enumeration Date | 2015-05-01 |
Last Update Date | 2021-07-27 |