Individual
EMERALD VACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 GRAND AVE, GRAND JUNCTION, CO 81501-8007
(970) 254-4872
Mailing address
2115 GRAND AVE, GRAND JUNCTION, CO 81501-8007
(970) 254-4872
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
24464782
CO
235Z00000X
Speech-Language Pathologist
Primary
24470732
CO
Other
Enumeration date
08/15/2024
Last updated
04/27/2026
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