Organization Name: | FREEDOM OF SPEECH, LLC |
NPI Number: | 1407921133 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MANDY M MCLANE (PROPRIETOR, SPEECH-LANG PATHOLOGIST) |
Mailing Address: | 3860 Colorado Ave Apt E Boulder |
State: | CO US |
Postal Code: | 803032106 |
Phone Number: | 4072528905 |
Fax Number: | 3035011720 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0000140 |
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 |