Individual
DR. DONNA J. BOTTENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-SLP
Contact information
Practice address
UNC SPEECH AND AUDIOLOGY CLINIC, GUNTER HALL ROOM 0330, GREELEY, CO 80639-0001
(970) 351-2012
(970) 351-1601
Mailing address
800 HAWKSTONE DR, #23, EATON, CO 80615-9037
(970) 454-1996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00322107
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04685237
—
CO
Enumeration date
09/13/2005
Last updated
07/08/2007
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