| NPI | 1548401839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A HERNDON Speech Language Pathologist 719-651-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 01091128) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-10-03 |