Organization
CLEAR TALK MASTERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIA B.L. JOHNSON PHD (PRESIDENT, FOUNDER)
(303) 818-4579
Entity
Organization
Contact information
Practice address
1800 30TH ST STE 220-D, BOULDER, CO 80301-1088
(303) 818-4579
Mailing address
PO BOX 18381, BOULDER, CO 80308-1381
(303) 818-4579
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01131420
CO
Other
Enumeration date
09/10/2016
Last updated
09/10/2016
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