| NPI | 1699482851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BETTS Speech Language Pathologist/Member 719-251-0935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |