Organization
FAMILY FIRST SPEECH LANGUAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA COSTELLO IANNACITO M.A., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(970) 223-3019
Entity
Organization
Contact information
Practice address
609 SEDGWICK DR, FORT COLLINS, CO 80525-7055
(970) 223-3019
Mailing address
609 SEDGWICK DR, FORT COLLINS, CO 80525-7055
(970) 223-3019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000603
CO
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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