| NPI | 1609473487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BETTS Speech Language Pathologist 719-251-0935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |