| NPI | 1770712382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI BURNETT Owner 719-460-8386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 01113646) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |