Individual
NATHAN MUTCHNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
17478 W 95TH AVE, ARVADA, CO 80007-8013
(248) 229-0090
Mailing address
17478 W 95TH AVE, ARVADA, CO 80007-8013
(248) 229-0090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14113707
CO
235Z00000X
Speech-Language Pathologist
14113707
MI
Other
Enumeration date
04/27/2016
Last updated
11/28/2024
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