Organization
COLORADO CHILDREN'S THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE SEMONIN (OWNER)
(970) 460-7372
Entity
Organization
Contact information
Practice address
100 WHITNEY CT, WINDSOR, CO 80550-6132
(970) 460-7372
Mailing address
100 WHITNEY CT, WINDSOR, CO 80550-6132
(970) 460-7372
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-17569
CO
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001686
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72058749
—
CO
Enumeration date
10/01/2015
Last updated
10/01/2015
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