Wendy Dietz, CCC-SLP | |
10343 Federal Blvd Unit J404, Westminster, CO 80260-7402 | |
(512) 790-0831 | |
Not Available |
Full Name | Wendy Dietz |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 10343 Federal Blvd Unit J404, Westminster, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063152130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 14430960 (Colorado) | Primary |
Provider Name | Empowerme Rehabilitation Colorado, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063176493 PECOS PAC ID: 0446641179 Enrollment ID: O20220106001466 |
Mailing Address | Practice Location Address |
---|---|
Wendy Dietz, CCC-SLP 7292 Greenridge Rd Ste 104, Windsor, CO 80550-8193 Ph: () - | Wendy Dietz, CCC-SLP 10343 Federal Blvd Unit J404, Westminster, CO 80260-7402 Ph: (512) 790-0831 |
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