# NORTHERN COLORADO SPEECH THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144955402
- **Authorized official:** SARA LOUISE POFAHL MS (OWNER)
- **Authorized official phone:** (970) 301-4206

## Contact information

- **Practice address:** 2547 11TH AVE, GREELEY, CO 80631-1679
- **Practice address phone:** (970) 301-4206
- **Practice address fax:** (970) 330-3954
- **Mailing address:** 6801 W 20TH ST UNIT 212, GREELEY, CO 80634-9640
- **Mailing address phone:** (970) 301-4206
- **Mailing address fax:** (970) 330-3954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2022
- **Last updated:** 07/20/2022