Individual
BIANCA SELENA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 ACADEMY CIR, COLORADO SPRINGS, CO 80909-1663
(719) 598-5555
Mailing address
2105 ACADEMY CIR, COLORADO SPRINGS, CO 80909-1663
(719) 598-5555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.0001092
CO
Other
Enumeration date
08/04/2023
Last updated
04/01/2024
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