Individual
SUSAN VIRGINIA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
311 MAPLETON AVE, BOULDER, CO 80304-3979
(303) 441-0526
Mailing address
3525 SILVER PLUME CT, BOULDER, CO 80305-7212
(303) 499-2197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12093523
CO
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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