| NPI | 1912527847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE TAN Speech Language Pathologist 970-222-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |