Organization Name: | DAN P. MCLELLAN LTD |
NPI Number: | 1093011892 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAN P MCLELLAN (PRESIDENT) |
Mailing Address: | 5520 Northfork Ct Boulder |
State: | CO US |
Postal Code: | 803013548 |
Phone Number: | 3038175055 |
Fax Number: | 3039148400 |
NPI Enumeration Date: | 01/27/2011 |
NPI Last Update Date: | 01/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01087675 |
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 |