NPI | 1659806883 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY ELISE JOHNSON Owner/President 303-242-7716 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8958) |
Enumeration Date | 2017-04-25 |
Last Update Date | 2017-04-25 |