| NPI | 1821711805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY TIPTON Speech Language Pathologist 970-640-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-10-12 |