Individual
HEATHER M BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,ED.,CCC-SLP
Contact information
Practice address
441 UNIVERSITY ST, TRINIDAD, CO 81082-2542
(719) 846-1500
(719) 846-1501
Mailing address
441 UNIVERSITY ST, TRINIDAD, CO 81082-2542
(719) 846-1500
(719) 846-1501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/31/2006
Last updated
02/29/2016
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