| NPI | 1679143960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON V CHISHOLM Speech Language Pathologist 303-579-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |