Individual
MRS. ALLISON KATHLEEN PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
519 EMERY ST, LONGMONT, CO 80501-5544
(303) 702-0091
(303) 702-0108
Mailing address
14794 STONEY CREEK WAY, BROOMFIELD, CO 80023-8793
(303) 702-0091
(303) 702-0108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
09/08/2011
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