Individual
BROOKE AMY CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
11479 PINE DR # 1, PARKER, CO 80134-7308
(303) 840-6374
Mailing address
1187 E KETTLE PLACE, CENTENNIAL, CO 80122
(303) 912-2910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12089448
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53508572
—
CO
Enumeration date
09/04/2009
Last updated
03/17/2018
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