Organization
DRAGONFLY PEDIATRIC SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA M GATES MS CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(720) 515-8254
Entity
Organization
Contact information
Practice address
9000 E NICHOLS AVE STE 140, CENTENNIAL, CO 80112-3406
(720) 515-8254
(720) 575-9914
Mailing address
9000 E NICHOLS AVE STE 140, CENTENNIAL, CO 80112-3406
(720) 515-8254
(720) 575-9914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881089811
—
CO
Enumeration date
09/05/2020
Last updated
04/02/2024
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