Organization
CONNECT TO COMMUNICATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MORAN SHIELDS MS, CCC/SLP (PRESIDENT)
(505) 730-9700
Entity
Organization
Contact information
Practice address
789 PASHUTA DR, GUNNISON, CO 81230-8709
(505) 730-9700
Mailing address
789 PASHUTA DR, GUNNISON, CO 81230-8709
(505) 730-9700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0002479
CO
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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