| NPI | 1578409389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR WICKEY Speech Language Pathologist 720-295-7758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-04-24 |
| Last Update Date | 2026-04-24 |