| NPI | 1992376024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEE GULLICKSON Speech Language Pathologist 970-355-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |