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Brooke Rae Thall, Speech Therapist

Speech-Language Pathologist, in Alamosa, CO. Individual provider (NPI-1).

NPI number1164075644
StatusActive
Last updated in NPPESDec 3, 2024

Details

NPI
1164075644
Entity type
Individual (NPI-1)
Name
Brooke Rae Thall
Credential
Speech Therapist
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 23, 2019
Certification date
Dec 3, 2024
Last updated
Dec 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP.0006172COYes
235Z00000X Speech-Language Pathologist,SL014610PA

Practice location

2261 Enterprise Dr
Alamosa, CO 81101-3603

Phone 717-422-7540

Mailing address

2261 Enterprise Dr
Alamosa, CO 81101-3603

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Other Speech-Language Pathologist providers in Alamosa, CO

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