Individual
MRS. JULIE EGGLESTON WAIDELICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4103 ASCENDANT DR, COLORADO SPRINGS, CO 80922-5302
(719) 322-5552
Mailing address
4103 ASCENDANT DR, COLORADO SPRINGS, CO 80922-5302
(719) 322-5552
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12019320
CO
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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