Individual
JULIE BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2174
Mailing address
1400 JACKSON STREET, NATIONAL JEWISH HEALTH, DENVER, CO 80206-2741
(303) 388-4461
(303) 270-2174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12076380
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001
ASHA
CO
01
—
002
CCC
CO
01
—
0413870
BOARD CERTIFIED
CO
Enumeration date
01/30/2009
Last updated
01/30/2009
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