| NPI | 1588453534 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MELISSA BAKER Speech Language Pathologist 970-682-0043  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech | 
| Enumeration Date | 2025-05-06 | 
| Last Update Date | 2025-05-22 |