| NPI | 1255540969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GANSEN Speech Therapist 303-532-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: 12045725) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |