Individual
ANDREA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1330 OAKRIDGE DR UNIT 10, FORT COLLINS, CO 80525-9652
(970) 419-0486
Mailing address
1330 OAKRIDGE DR UNIT 10, FORT COLLINS, CO 80525-9652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00001087
CO
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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