Organization
SEASTAR SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA ANN GORMAN MS, CCC-SLP (MANAGING MEMBER)
(719) 538-6027
Entity
Organization
Contact information
Practice address
1255 LAKE PLAZA DR, SUITE269, COLORADO SPRINGS, CO 80906-3500
(719) 538-6027
(719) 344-2328
Mailing address
1255 LAKE PLAZA DR, SUITE269, COLORADO SPRINGS, CO 80906-3500
(719) 538-6027
(719) 344-2328
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
01129463
CO
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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