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Individual

ERICA HASEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
1901 56TH AVE STE 110, GREELEY, CO 80634-2950
(970) 301-4206
(970) 330-3954
Mailing address
1066 MESSARA DR, FORT COLLINS, CO 80524-6073
(303) 859-2738

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002060
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
72800062
CO
Enumeration date
08/25/2015
Last updated
09/29/2021
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