Individual
HALEY R RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
Mailing address
338 ALDER AVE, JOHNSTOWN, CO 80534-9133
(307) 365-1139
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002950
CO
Other
Enumeration date
05/03/2020
Last updated
05/03/2020
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