| NPI | 1700350725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLO TRUDGEON Speech Language Pathologist 303-917-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-01-12 |
| Last Update Date | 2019-01-12 |