Organization
MARY ANN KEATLEY, PH.D., CCC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN KEATLEY PH.D. (SINGLE MEMBER LLC)
(303) 447-0022
Entity
Organization
Contact information
Practice address
321 N WHITCOMB ST, FORT COLLINS, CO 80521-2041
(970) 221-3456
Mailing address
1790 30TH ST, SUITE 120, BOULDER, CO 80301-1022
(303) 447-0022
(970) 221-3730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
09/10/2009
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