Individual
AMANDA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
395 S PRATT PKWY, LONGMONT, CO 80501-6436
(303) 776-6200
Mailing address
909 WAGONWHEEL GAP RD, BOULDER, CO 80302-9495
(303) 938-1024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000533
CO
235Z00000X
Speech-Language Pathologist
SLP.0000533
CO
Other
Enumeration date
09/04/2013
Last updated
05/14/2024
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