Individual
MRS. CATHLEEN ANN LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3090 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5310
(719) 574-8300
(719) 574-9547
Mailing address
20245 SILVERHORN LN, MONUMENT, CO 80132-8002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07807613
—
CO
Enumeration date
03/01/2007
Last updated
07/09/2007
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