Mountain Sprouts Speech Therapy, LLC
Speech-Language Pathologist, in Longmont, CO. Organization (NPI-2).
NPI number1669963997
StatusActive
Last updated in NPPESMay 22, 2018
Details
- NPI
- 1669963997
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountain Sprouts Speech Therapy, LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2018
- Last updated
- May 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
1251 Gay StLongmont, CO 80501-3813
Phone 501-454-1135
Mailing address
1251 Gay StLongmont, CO 80501-3813
Phone 501-454-1135
Authorized official
Whitney Jane Doramus
Speech Pathologist
5014541135
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