Individual
ADRIENNE HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCCSLPL
Contact information
Practice address
1533 CREST VIEW WAY APT 3, GRAND JUNCTION, CO 81506-5204
(970) 242-6304
Mailing address
1533 CREST VIEW WAY APT 3, GRAND JUNCTION, CO 81506-5204
(970) 242-6304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001244
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP.0001244
COLORADO DEPARTMENT OF REGULATORY AGENCIES (DORA)
CO
Enumeration date
08/16/2018
Last updated
08/16/2018
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