Individual
KATJA CHIDESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8671 E 47TH AVE, DENVER, CO 80238-3636
(720) 362-9161
Mailing address
8671 E 47TH AVE, DENVER, CO 80238-3636
(720) 362-9161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PSLP.0000769
CO
235Z00000X
Speech-Language Pathologist
Primary
SLP.0005019
CO
Other
Enumeration date
06/05/2021
Last updated
09/22/2023
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