Organization
PATTI WADE, MS, CCC-SLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI WADE M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(310) 266-4787
Entity
Organization
Contact information
Practice address
1244 PINE ST, BOULDER, CO 80302-4809
(301) 266-4787
Mailing address
1244 PINE ST, BOULDER, CO 80302-4809
(301) 266-4787
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
0001755
CO
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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