Individual
ROBERT CHAIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5446 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3644
(719) 598-5555
Mailing address
5446 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3644
(719) 598-5555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.0000392
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
08/18/2017
Last updated
11/14/2018
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