Individual
MISS TAYLOR LEE WICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
811 BRICKYARD CIR, GOLDEN, CO 80403-8058
(330) 241-2760
Mailing address
811 BRICKYARD CIR, GOLDEN, CO 80403-8058
(330) 241-2760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14320794
CO
Other
Enumeration date
06/05/2019
Last updated
03/21/2024
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