Individual
MRS. LINDA C MUSTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SP
Contact information
Practice address
1208 HAWK RIDGE RD, LAFAYETTE, CO 80026-2985
(303) 530-5680
Mailing address
1208 HAWK RIDGE RD, LAFAYETTE, CO 80026-2985
(303) 530-5680
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0285472
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43173365
—
CO
Enumeration date
04/18/2007
Last updated
07/08/2007
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