Organization
LETS TALK SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA K BOWEN (OWNER)
(719) 275-8255
Entity
Organization
Contact information
Practice address
411 W NEW YORK AVE, CANON CITY, CO 81212-3628
(719) 275-8255
Mailing address
411 W NEW YORK AVE, CANON CITY, CO 81212-3628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0230044
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23831332
—
CO
Enumeration date
06/23/2008
Last updated
06/23/2008
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