NPI | 1821439506 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLINE LIESELL MANCUSO President 720-253-7985 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 687) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2016-03-01 |