Individual
SAMANTHA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 PARKMOOR VILLAGE DR, COLORADO SPRINGS, CO 80917-5205
(719) 550-0200
Mailing address
5203 FOSSIL BUTTE DR, COLORADO SPRINGS, CO 80923-9502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.0000329
CO
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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