Doctor Name: | JESSICA M GATES |
NPI Number: | 1881089811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS SLP-CCC |
License Number: | 117136 |
Business Practice Address: | 13174 Spica Dr Littleton, CO - 801242637 |
Business Phone Number: | 3038687888 |
Business Fax Number: | |
Mailing Address: | 13174 Spica Dr, LITTLETON |
State: | CO |
Postal Code: | 801242637 |
Phone Number: | 3038687888 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2015 |
NPI Last Update Date: | 04/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 117136 |
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 |