Individual
SHEILA L. GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
825 S BROADWAY ST, BOULDER, CO 80305-5932
(303) 440-0952
Mailing address
655 PLEASANT ST, BOULDER, CO 80302-6923
(303) 440-0952
(303) 440-0952
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94681384
—
CO
Enumeration date
01/02/2006
Last updated
07/16/2007
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