Individual
MIRANDA ARAGON MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
13660 W ALASKA DR, LAKEWOOD, CO 80228-2420
(970) 390-7745
Mailing address
13660 W ALASKA DR, LAKEWOOD, CO 80228-2420
(970) 390-7745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002090
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16404033
—
CO
Enumeration date
05/03/2014
Last updated
01/10/2019
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