NPI | 1285090209 |
---|---|
Entity Type | Organization |
Authorized Contact | LEANN SIPPLE Owner / Slp 970-817-1053 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000169) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2021-07-07 |