NPI | 1184110959 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH SHIELDS Speech Pathologist 303-908-5670 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 12146632) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2018-07-05 |