Wilder Language And Learning

NPI 1598189086 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1598189086
Enumeration Date 02/05/2014
Last Updated 02/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name LARISA M LARISA
Position OWNER/ SPEECH LANGUAGE PATH
Phone (303) 818-0508
Fax
Practice Location
3825 MONTEREY PLACE
BOULDER CO, 80301, US
Phone (303) 818-0508
Fax
Business Location
3825 MONTEREY PLACE
BOULDER CO, 80301, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Colorado
License Number 12119008
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According to our database, Wilder Language And Learning NPI is 1598189086, taxonomy code is 235Z00000X and license number is 12119008, license state is located at Colorado. Wilder Language And Learning physically located at 3825 Monterey Place, Boulder CO, 80301. NPI Number 1033115704 has the healthcare provider type.

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1598189086 NPI number is provided on an as is basis without warranty of any kind. 1598189086 is maintained by the National Plan & Provider Enumeration System. The contents of Wilder Language And Learning are for informational purposes only.