Individual
JAIME NICOLE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2311 OLD RAIL WAY, SUPERIOR, CO 80027-8651
(303) 550-0926
Mailing address
2311 OLD RAIL WAY, SUPERIOR, CO 80027-8651
(303) 550-0926
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000449
CO
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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