Individual
DR. KATHLEEN ROSE FAHEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-ALP
Contact information
Practice address
UNC SPEECH AND AUDIOLOGY CLINIC, GUNTER HALL ROOM 0330, GREELEY, CO 80639-0001
(970) 351-2012
(970) 351-1601
Mailing address
5137 W 12TH ST, GREELEY, CO 80634-2138
(970) 353-7743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00623629
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07623622
—
CO
Enumeration date
09/13/2005
Last updated
07/08/2007
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