Organization
CHILDREN'S SPEECH AND READING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE BOON (EXECUTIVE DIRECTOR)
(970) 419-0486
Entity
Organization
Contact information
Practice address
1330 OAKRIDGE DR UNIT 10, FORT COLLINS, CO 80525-9652
(970) 419-0486
(970) 221-5751
Mailing address
1330 OAKRIDGE DR UNIT 10, FORT COLLINS, CO 80525-9652
(970) 419-0486
(970) 221-5751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972733202
—
CO
Enumeration date
05/16/2018
Last updated
05/16/2018
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