| NPI | 1659775385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA COSTELLO IANNACITO Speech Language Pathologist 970-223-3019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000603) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |