Organization
DYNAMIC THERAPY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA MARIE BAUX M.A., CCC-SLP (OWNER/CEO)
(360) 473-7877
Entity
Organization
Contact information
Practice address
1082 GREENLAND FOREST DR, MONUMENT, CO 80132-9344
(360) 473-7877
Mailing address
1082 GREENLAND FOREST DR, MONUMENT, CO 80132-9344
(360) 473-7877
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12041536
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12041536
ASHA
CO
Enumeration date
06/12/2012
Last updated
06/12/2012
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