# PATTI WADE, MS, CCC-SLP

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

## Provider details

- **NPI number:** 1740656305
- **Authorized official:** PATTI WADE M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (310) 266-4787

## Contact information

- **Practice address:** 1244 PINE ST, BOULDER, CO 80302-4809
- **Practice address phone:** (301) 266-4787
- **Mailing address:** 1244 PINE ST, BOULDER, CO 80302-4809
- **Mailing address phone:** (301) 266-4787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 0001755 | CO | Yes |

## Other

- **Enumeration date:** 08/18/2015
- **Last updated:** 08/18/2015