Individual
HOLLIS LAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC,SLP
Contact information
Practice address
4271 LOWELL BLVD, DENVER, CO 80211-1656
(303) 996-6510
Mailing address
4271 LOWELL BLVD, DENVER, CO 80211-1656
(720) 201-2172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12081106
CO
Other
Enumeration date
03/06/2018
Last updated
06/20/2018
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