Individual
KATHLEEN NICOLE WYRTZEN SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1026 LINDA LN, EVERGREEN, CO 80439-9529
(303) 319-3199
Mailing address
PO BOX 181, EVERGREEN, CO 80437-0181
(303) 319-3199
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12010286
CO
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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