| NPI | 1417202458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MARIE ANDERSON Speech Language Pathologist 719-232-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 01106807) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |