Individual
KERRY TOMOKO MEDENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC
Contact information
Practice address
1829 DENVER WEST DR BLDG 27, GOLDEN, CO 80401-3120
(303) 982-6500
Mailing address
1829 DENVER WEST DR BLDG 27, GOLDEN, CO 80401-3120
(303) 982-6500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
361363
CO
Other
Enumeration date
10/08/2012
Last updated
08/09/2024
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