Doctor Name: | ADAM HEADLEE |
NPI Number: | 1073885885 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, CCC-SLP |
License Number: | |
Business Practice Address: | 2139 S Custer Ave Loveland, CO - 805377109 |
Business Phone Number: | 9702324274 |
Business Fax Number: | |
Mailing Address: | 2139 S Custer Ave, LOVELAND |
State: | CO |
Postal Code: | 805377109 |
Phone Number: | 9702324274 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2012 |
NPI Last Update Date: | 02/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |