Individual
OLIVIA DALENE BUSHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1775 LACLEDE ST, COLORADO SPRINGS, CO 80905-9502
(719) 475-6100
Mailing address
1775 LACLEDE ST, COLORADO SPRINGS, CO 80905-9502
(719) 475-6100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0006955
CO
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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