| NPI | 1598268971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY DAVID SMITH Office Manager 720-219-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 17679) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2021-12-27 |