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Individual

CARISSA BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 E CHERRY CREEK SOUTH DR STE 710, DENVER, CO 80246-1534
(303) 432-8487
Mailing address
1164 S ACOMA ST UNIT 311C, DENVER, CO 80210-1643
(319) 240-7185

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003819
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP.0003819
DORA
CO
Enumeration date
12/12/2019
Last updated
01/08/2023
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