| NPI | 1649532607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DAWN MAYER Speech Language Pathologist 719-660-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-09-12 |