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Kristin Ito Bogardus

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

NPI number1538717533
StatusActive
Last updated in NPPESNov 29, 2021

Details

NPI
1538717533
Entity type
Individual (NPI-1)
Name
Kristin Ito Bogardus
Sex
Female
Sole proprietor
No
Enumeration date
Sep 3, 2019
Certification date
Nov 29, 2021
Last updated
Nov 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

1472 S Pierson Ct
Lakewood, CO 80232-4930

Phone 303-335-8466

Mailing address

1472 S Pierson Ct
Lakewood, CO 80232-4930

Phone 303-335-8466

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