Individual
NATHAN RENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
2925 VIRGINIA DALE DR, FORT COLLINS, CO 80521-4034
(505) 787-4864
Mailing address
2925 VIRGINIA DALE DR, FORT COLLINS, CO 80521-4034
(505) 787-4864
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003257
CO
Other
Enumeration date
01/06/2017
Last updated
01/05/2019
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