Individual
MR. JOHN MICHAEL DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
4729 SPINE RD, UNIT E, BOULDER, CO 80301-6748
(303) 532-6209
Mailing address
4729 SPINE RD, UNIT E, BOULDER, CO 80301-6748
(303) 532-6209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000682
CO
235Z00000X
Speech-Language Pathologist
21491
CA
235Z00000X
Speech-Language Pathologist
SLP8831
AZ
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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