Organization
THE SLP LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE HENRIQUEZ MA (SPEECH-LANGUAGE PATHOLOGIST)
(425) 891-4120
Entity
Organization
Contact information
Practice address
30400 MOUNTAINSIDE DR, BUENA VISTA, CO 81211-8700
(425) 891-4120
Mailing address
30400 MOUNTAINSIDE DR, BUENA VISTA, CO 81211-8700
(425) 891-4120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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