NPI | 1629424031 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT E VICKERY Owner, Speech Language Pathologist 720-670-6243 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002064) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2020-08-17 |