Individual
AMBER HAVERSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11001 W 120TH AVE, BROOMFIELD, CO 80021-3494
(888) 265-2680
Mailing address
11001 W 120TH AVE, BROOMFIELD, CO 80021-3494
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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