Organization
SPEECH & LANGUAGE STIMULATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE EVENSON (OFFICE MANAGER)
(970) 495-1150
Entity
Organization
Contact information
Practice address
760 WHALERS WAY, BLDG. C SUITE #100, FORT COLLINS, CO 80525-2023
(970) 495-1150
(970) 495-0133
Mailing address
760 WHALERS WAY, BLDG. C SUITE #100, FORT COLLINS, CO 80525-2023
(970) 495-1150
(970) 495-0133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/17/2006
Last updated
08/17/2020
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