| NPI | 1780837542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY RANDALL Speech Language Pathologist 303-570-1058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |