Individual
CAROL I CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,C.C.C.
Contact information
Practice address
1606 PRAIRIE CENTER PKWY STE 120, BRIGHTON, CO 80601-4004
(303) 659-4090
(720) 685-9114
Mailing address
4465 NE COUNTY LINE RD, ERIE, CO 80516-6906
(720) 685-9114
(720) 685-9114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
NA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07001068
—
CO
Enumeration date
01/18/2007
Last updated
09/25/2007
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