| The Shandy Clinic | |
|
901 N Santa Fe Ave Fountain CO 80817-1738 | |
| (719) 597-0822 | |
| (719) 599-4606 |
| Full Name | The Shandy Clinic |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 901 N Santa Fe Ave, Fountain, Colorado |
| Authorized Official Name and Position | Rebecca Newman (BILLING MANAGER) |
| Authorized Official Contact | 7195970822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Shandy Clinic 685 Citadel Dr E Ste 580 Colorado Springs CO 80909-5381 Ph: (719) 597-0822 | The Shandy Clinic 901 N Santa Fe Ave Fountain CO 80817-1738 Ph: (719) 597-0822 |
| NPI Number | 1366057689 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366057689 | NPI | - | NPPES |
| 12000256 | Medicaid | CO |
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