Individual
MRS. CARMELA ANN LUECK FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1500 E 128TH AVE, THORNTON, CO 80241-2601
(720) 972-4000
Mailing address
6472 ROBIN DR, LONGMONT, CO 80503-8710
(510) 517-5885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01102381
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
Enumeration date
05/13/2009
Last updated
09/05/2023
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