Individual
JER-AYE GAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3001 N TAFT AVE STE 100, LOVELAND, CO 80538-8307
(970) 663-3222
Mailing address
930 BUTTON ROCK DR UNIT B7, LONGMONT, CO 80504-3323
(720) 988-0207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77324030
—
CO
Enumeration date
12/16/2009
Last updated
08/11/2011
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