Individual
SANDRA M. FIEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
11691 VICTOR DR, LONGMONT, CO 80504-5213
(303) 775-9677
Mailing address
1934 RANNOCH DR, LONGMONT, CO 80504-3761
(303) 775-9677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20141416743
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20141416743
COLORADO SECRETARY OF STATE/DORA
CO
Enumeration date
06/06/2018
Last updated
09/12/2025
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