| Colorado Children's Therapy | |
|
100 Whitney Ct Windsor CO 80550-6132 | |
| (970) 460-7372 | |
| Not Available |
| Full Name | Colorado Children's Therapy |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 100 Whitney Ct, Windsor, Colorado |
| Authorized Official Name and Position | Hallie Semonin (OWNER) |
| Authorized Official Contact | 9704607372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Children's Therapy 100 Whitney Ct Windsor CO 80550-6132 Ph: (970) 460-7372 | Colorado Children's Therapy 100 Whitney Ct Windsor CO 80550-6132 Ph: (970) 460-7372 |
| NPI Number | 1437529609 |
|---|---|
| Provider Enumeration Date | 10/01/2015 |
| Last Update Date | 10/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437529609 | NPI | - | NPPES |
| 72058749 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-14-17569 (Colorado) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP.0001686 (Colorado) | Primary |
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