Individual
MIRANDA JANE HOLMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
7550 S BLACKHAWK ST, APT 5204, ENGLEWOOD, CO 80112-4068
(801) 300-0314
Mailing address
7550 S BLACKHAWK ST, APT 5204, ENGLEWOOD, CO 80112-4068
(801) 300-0314
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14089966
CO
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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