Individual
MRS. TERESA ANN RYAN BRUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC- SLP
Contact information
Practice address
2214 HARVARD CT, LONGMONT, CO 80503-9116
(303) 859-8000
Mailing address
2214 HARVARD CT, LONGMONT, CO 80503-9116
(303) 859-8000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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