Individual
ROBERTA PUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7744 S BRENTWOOD ST, LITTLETON, CO 80128-8278
(303) 507-2624
Mailing address
7744 S BRENTWOOD ST, LITTLETON, CO 80128-8278
(303) 507-2624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000479
CO
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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