NPI | 1447474374 |
---|---|
Doing Business As | THE SHANDY CLINIC |
Entity Type | Organization |
Authorized Contact | AMY LYNNE SHANDY Owner 719-597-0822 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 09122115) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |