Individual
STACEY WALBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6091 S QUEBEC ST, STE 200, CENTENNIAL, CO 80111-4521
(303) 504-9945
(303) 504-9946
Mailing address
6091 S QUEBEC ST, STE 200, CENTENNIAL, CO 80111-4521
(303) 504-9945
(303) 504-9946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29577039
—
CO
Enumeration date
08/23/2007
Last updated
08/23/2007
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