Organization
FRONT RANGE SPEECH AND BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CHASE M.S.,CCC-SLP, MED (OWNER)
(714) 478-1482
Entity
Organization
Contact information
Practice address
7251 W 20TH ST, UNIT P2, GREELEY, CO 80634-4625
(970) 778-4637
Mailing address
1303 PARK RIDGE DR, SEVERANCE, CO 80615-8609
(714) 478-1482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0000936
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28650077
—
CO
Enumeration date
12/07/2016
Last updated
12/07/2016
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