NPI 1922869296 · live from the CMS NPI Registry
Mary Backes
Speech-Language Pathologist, in Broomfield, CO. National Provider Identifier 1922869296, active.
NPI record
| NPI | 1922869296 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 403 Summit Blvd Ste 204b, Broomfield, CO 80021 |
| Practice phone | 720-401-2139 |
| Mailing address | 7100 New Hope Rd, Grants Pass, OR 97527 |
| Enumerated | January 23, 2024 |
| Last updated | January 23, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 0001251 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.