Individual
MAIJA GULENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8401 ARISTA PL, BROOMFIELD, CO 80021-4154
(720) 777-9208
(720) 777-9236
Mailing address
8401 ARISTA PL, BROOMFIELD, CO 80021-4154
(720) 777-9208
(720) 777-9236
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0000733
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12039206
ASHA
—
Enumeration date
02/02/2017
Last updated
02/02/2017
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