NPI | 1417368200 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTY THOMPSON ARCHULETA Speech Language Pathologist 307-760-5526 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 298) |
Enumeration Date | 2014-05-14 |
Last Update Date | 2019-01-11 |