Individual
CHRISTINA IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4230 DURANGO PL, FORT COLLINS, CO 80526-4103
(480) 329-9614
Mailing address
4230 DURANGO PL, FORT COLLINS, CO 80526-4103
(480) 329-9614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1872
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624751
—
AZ
Enumeration date
10/23/2006
Last updated
05/23/2019
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