Individual
JORDAN THOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP-L
Contact information
Practice address
8778 MORTON RD, NIWOT, CO 80503-8669
(303) 652-2828
Mailing address
395 S PRATT PKWY, LONGMONT, CO 80501-6436
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
173450
CO
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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