Individual
AMANDA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 DARBY CT APT 205, LONGMONT, CO 80501-5076
(612) 770-1709
Mailing address
711 DARBY CT APT 205, LONGMONT, CO 80501-5076
(612) 770-1709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0005036
CO
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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