Doctor Name: | MRS. CALLIE NICOLE WOLKING |
NPI Number: | 1679822696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 490 N Diamond Ave Canon City, CO - 812122521 |
Business Phone Number: | 7192766182 |
Business Fax Number: | |
Mailing Address: | 814 Della Vista Ln, CANON CITY |
State: | CO |
Postal Code: | 812128704 |
Phone Number: | 7192696865 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2012 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |