Organization
FRONT RANGE THERAPISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE LACY HOYER MA CCC-SLP (OWNER)
(970) 381-3183
Entity
Organization
Contact information
Practice address
504 E 23RD STREET RD, GREELEY, CO 80631-9049
(970) 381-3183
Mailing address
504 E 23RD STREET RD, GREELEY, CO 80631-9049
(970) 381-3183
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CO
Enumeration date
12/05/2008
Last updated
12/05/2008
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