Organization
BAUER STUTTERING & SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BAUER M.A., CCC-SLP (OWNER)
(970) 590-6206
Entity
Organization
Contact information
Practice address
442 LA COSTA LANE, JOHNSTOWN, CO 80534
(970) 590-6206
(970) 587-6497
Mailing address
442 LA COSTA LANE, JOHNSTOWN, CO 80534
(970) 590-6206
(970) 587-6497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001419
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35631546
—
CO
Enumeration date
05/05/2014
Last updated
06/07/2022
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