Individual
VIRGINIA MARY GAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3041 PROMONTORY LOOP, BROOMFIELD, CO 80023-8013
(720) 353-8405
(720) 863-2197
Mailing address
PO BOX 3272, BOULDER, CO 80307-3272
(720) 353-8405
(720) 863-2197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25682288
—
CO
Enumeration date
04/13/2007
Last updated
09/14/2022
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