NPI | 1225303050 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM MICHAEL HEADLEE Speech Language Pathologist 970-232-4274 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 12135404) |
Enumeration Date | 2012-03-12 |
Last Update Date | 2012-03-12 |