Individual
KELLY ELIZABETH BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
1564 E GIRARD PL APT 1016A, ENGLEWOOD, CO 80113-9216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0001993
CO
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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