Individual
CATHERINE M BLADOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP BCBA
Contact information
Practice address
1623 S LEMAY AVE, FORT COLLINS, CO 80525-1123
(970) 420-0578
Mailing address
6107 ASHTON COURT, FORT COLLINS, CO 80525
(970) 420-0578
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1063015
—
235Z00000X
Speech-Language Pathologist
Primary
01004473
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24426032
—
CO
Enumeration date
02/02/2007
Last updated
04/08/2018
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