Individual
CASSANDRA MCCLENAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2845 BROADWAY ST APT 201, BOULDER, CO 80304-3552
(831) 224-3002
Mailing address
2845 BROADWAY ST APT 201, BOULDER, CO 80304-3552
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14414609
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14414609
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
CO
Enumeration date
09/26/2021
Last updated
09/26/2021
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