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Organization

FREEDOM OF SPEECH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MANDY M MCLANE MA, CCC-SLP (PROPRIETOR, SPEECH-LANG PATHOLOGIST)
(407) 252-8905
Entity
Organization

Contact information

Practice address
1603 TURIN DR, LONGMONT, CO 80503-2717
(407) 252-8905
(303) 501-1720
Mailing address
1603 TURIN DR, LONGMONT, CO 80503-2717
(407) 252-8905
(303) 501-1720

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000140
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000140
STATE LICENSE
CO
01
12085988
ASHA BOARD CERTIFICATION
FL
01
1407921133
GROUP NPI
05
93231067
CO
01
SA8295
STATE LICENSE
FL
Enumeration date
11/21/2006
Last updated
07/21/2022
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