Organization
THE SHANDY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SHANDY M.A. CCC-SLP (DIRECTOR/OWNER)
(719) 597-0822
Entity
Organization
Contact information
Practice address
3625 CITADEL DR S, COLORADO SPRINGS, CO 80909-5320
(719) 597-0822
Mailing address
3625 CITADEL DR S, COLORADO SPRINGS, CO 80909-5320
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0002140
CO
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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