Individual
ANNELISA CLARE HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3715 KECHTER RD, FORT COLLINS, CO 80528-9543
(970) 488-5148
Mailing address
3715 KECHTER RD, FORT COLLINS, CO 80528-9543
(970) 488-5148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24415831
CO
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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