Individual
MS. RITA TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
Contact information
Practice address
2423 W 27TH ST, UNIT C, GREELEY, CO 80634-8038
(303) 475-7104
(970) 330-4461
Mailing address
2423 W 27TH ST, UNIT C, GREELEY, CO 80634-8038
(303) 475-7104
(970) 330-4461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01105095
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37171593
—
CO
Enumeration date
02/04/2007
Last updated
07/09/2007
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