Individual
MRS. ADRIANNA ACKERMAN AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1450 BLACK PINE CT, CASTLE ROCK, CO 80104-7610
(970) 590-9241
Mailing address
1450 BLACK PINE CT, CASTLE ROCK, CO 80104-7610
(970) 590-9241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12130383
CO
235Z00000X
Speech-Language Pathologist
191025
CO
Other
Enumeration date
07/08/2010
Last updated
08/10/2019
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