Organization
PEDIATRIC SPEECH AND LANGUAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH VANWINKLE MA (OWNER)
(719) 377-2523
Entity
Organization
Contact information
Practice address
6825 SILVER PONDS HTS, COLORADO SPRINGS, CO 80908-4774
(719) 377-2523
Mailing address
6825 SILVER PONDS HTS, COLORADO SPRINGS, CO 80908-4774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14094446
MD
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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