Individual
MRS. ANNETTE LYNN LANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
7888 KREMERS LN, LAPORTE, CO 80535-9580
(970) 217-9532
(970) 568-0705
Mailing address
7888 KREMERS LN, LAPORTE, CO 80535-9580
(970) 217-9532
(970) 568-0705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0191121
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63900262
—
CO
Enumeration date
03/15/2007
Last updated
07/08/2007
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