Individual
GRACE MATTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
4704 HARLAN ST STE 200, DENVER, CO 80212-7417
(303) 433-0852
Mailing address
3040 S UNIVERSITY BLVD, DENVER, CO 80210-6031
(574) 807-4080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0006129
CO
Other
Enumeration date
11/06/2023
Last updated
09/18/2024
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