| 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 |