Individual
TERESA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
13121 E 17TH AVE, AURORA, CO 80045-2535
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08154341
—
CO
Enumeration date
10/25/2006
Last updated
08/02/2013
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