Individual
LACI HATHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
11750 E POWERS AVE, ENGLEWOOD, CO 80111-4139
(303) 995-6259
Mailing address
11750 E POWERS AVE, ENGLEWOOD, CO 80111-4139
(303) 995-6259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12123658
CO
235Z00000X
Speech-Language Pathologist
Primary
151648
CO
Other
Enumeration date
02/16/2019
Last updated
01/02/2020
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