| NPI | 1871076646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR SEITZ Speech Language Pathologist 719-648-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2020-07-14 |