Individual
MRS. BETH ANNE GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
115 UPPER GLENWAY, PALMER LAKE, CO 80133-5147
(719) 488-4760
Mailing address
146 JEFFERSON ST, MONUMENT, CO 80132-9200
(719) 488-4700
(719) 785-4218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
284725
CO
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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