| NPI | 1871890913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MICHELLE MULLIGAN Speech Language Pathologist 970-815-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2016-07-25 |