| NPI | 1356655088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON J. EDWARDS Speech Language Pathologist 719-964-4275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |