Individual
MR. DAN PATRICK MCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
5520 N FORK CT, BOULDER, CO 80301-3548
(303) 817-5055
(303) 530-5285
Mailing address
5520 N FORK CT, BOULDER, CO 80301-3548
(303) 817-5055
(303) 530-5285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05322839
—
CO
Enumeration date
01/20/2007
Last updated
07/09/2007
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