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Organization

NORTHERN COLORADO SPEECH THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA LOUISE POFAHL MS (OWNER)
(970) 301-4206
Entity
Organization

Contact information

Practice address
2547 11TH AVE, GREELEY, CO 80631-1679
(970) 301-4206
(970) 330-3954
Mailing address
6801 W 20TH ST UNIT 212, GREELEY, CO 80634-9640
(970) 301-4206
(970) 330-3954

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000151501
CO
Enumeration date
07/20/2022
Last updated
07/20/2022
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