Individual
MS. LAURA JANE MONTESANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP, MT-BC
Contact information
Practice address
6505 KALUA RD APT 203, BOULDER, CO 80301-5809
(303) 882-3123
(303) 993-8706
Mailing address
6505 KALUA RD APT 203, BOULDER, CO 80301-5809
(303) 882-3123
(303) 993-8706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13657836
—
CO
Enumeration date
08/22/2006
Last updated
08/07/2013
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