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SUSAN VIRGINIA ADAMS MA, CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1871700336

Individual Registrant:
 SUSAN VIRGINIA ADAMS MA, CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
311 MAPLETON AVE  BOULDER, CO 80304-3979 US
Tel: 303-441-0526  Fax: --

Contact information for business:
3525 SILVER PLUME CT  BOULDER, CO 80305-7212 US
Tel: 303-499-2197  Fax: --

Registration Information:
NPI: 1871700336
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
CO12093523

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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