| NPI | 1386259620 |
|---|---|
| Doing Business As | THE SHANDY CLINIC |
| Entity Type | Organization |
| Authorized Contact | REBECCA NEWMAN Billing Manager 719-597-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-15 |