Christina Riseman, MA CCC-SLP
Speech-Language Pathologist, in Boulder, CO. Individual provider (NPI-1).
NPI number1053887331
StatusActive
Last updated in NPPESOct 15, 2018
Details
- NPI
- 1053887331
- Entity type
- Individual (NPI-1)
- Name
- Christina Riseman
- Credential
- MA CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2018
- Last updated
- Oct 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP.0001685 | CO | Yes |
Practice location
Slhc2501 Kittredge Loop Rd., 409 Ucb
Boulder, CO 80309
Phone 303-492-5375
Mailing address
1122 W Enclave CirLouisville, CO 80027-2905
Phone 303-862-6791
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