| NPI | 1578551024 |
|---|---|
| Doing Business As | SPEECH & AUDIOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICHARD NICKESON Associate VP Administration 970-351-3966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 231H00000X Audiologist | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2022-11-15 |