Organization
SMALL TALK THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RENEE DAWSON (PRESIDENT)
(720) 851-4820
Entity
Organization
Contact information
Practice address
10846 ELDER AVE., CONIFER, CO 80433
(720) 851-4820
Mailing address
10846 ELDER AVE., CONIFER, CO 80433
(720) 851-4820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34076271
—
CO
Enumeration date
12/01/2011
Last updated
05/13/2016
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