Individual
CANDICE BOTTOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 SUNRIDGE TERRACE DR, CASTLE ROCK, CO 80109-7926
(870) 926-7497
Mailing address
4615 SUNRIDGE TERRACE DR, CASTLE ROCK, CO 80109-7926
(870) 926-7497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24441471
CO
235Z00000X
Speech-Language Pathologist
SP#P8768
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201530721
—
AR
Enumeration date
03/28/2014
Last updated
04/12/2024
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