| NPI | 1548053747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN EAGEN Speech Language Pathologist 970-493-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-07-29 |