| Organization Name: | MS.B'S SPEECH AND LANGUAGE THERAPY, LLC |
| NPI Number: | 1417202458 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA MARIE ANDERSON (SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 6316 Bestview Way Colorado Springs |
| State: | CO US |
| Postal Code: | 809185501 |
| Phone Number: | 7192321538 |
| Fax Number: | 7195488831 |
| NPI Enumeration Date: | 07/16/2012 |
| NPI Last Update Date: | 07/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 01106807 |
| 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 |