Individual
JACQUELYN MICHELLE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
7000 BROADWAY, SUITE 208, DENVER, CO 80221
(303) 327-9738
(884) 472-2799
Mailing address
2780 W 56TH AVE, DENVER, CO 80221
(720) 884-6798
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0002430
CO
235Z00000X
Speech-Language Pathologist
SP 18382
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59855037
—
CO
Enumeration date
09/08/2010
Last updated
03/26/2020
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