Individual
KENDAL LATTANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0004011
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000496
DEPARTMENT OF REGULATORY SERVICES
CO
Enumeration date
07/11/2019
Last updated
08/28/2020
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