Individual
SUSAN GADEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
276 EMBER PL, CASTLE ROCK, CO 80104-2715
(720) 733-1636
Mailing address
276 EMBER PL, CASTLE ROCK, CO 80104-2715
(720) 733-1636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09127739
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37725327
—
CO
Enumeration date
03/15/2007
Last updated
07/08/2007
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