# NORTHERN COLORADO SPEECH THERAPY, LLC

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

## Provider details

- **NPI number:** 1265977714
- **Authorized official:** SARAH LOUISE POFAHL (CEO)
- **Authorized official phone:** (970) 301-4206

## Contact information

- **Practice address:** 6801 W 20TH ST UNIT 212, GREELEY, CO 80634-9640
- **Practice address phone:** (970) 301-4206
- **Practice address fax:** (970) 330-3956
- **Mailing address:** 6801 W 20TH ST UNIT 212, GREELEY, CO 80634-9640
- **Mailing address phone:** (970) 301-4206
- **Mailing address fax:** (970) 330-3956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 1083 | CO | Yes |

## Other

- **Enumeration date:** 12/19/2016
- **Last updated:** 03/20/2023