Ali Christen Shafer, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Wellington, CO

NPI 1235906397 · NPPES record last updated Dec 8, 2023

Key facts

NPI
1235906397
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
12096608 (CO)
Practice address
4000 Wilson Ave
Wellington, CO 80549-5100
Phone
(970) 488-8626
NPI assigned
Dec 8, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12096608COMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12096608 CO Yes

Addresses

Primary practice location

4000 Wilson Ave
Wellington, CO 80549-5100

Mailing address

4000 Wilson Ave
Wellington, CO 80549-5100
Phone (970) 488-8626

Other providers in Wellington, CO

All providers in Wellington, CO · Speech-Language Pathologist in Colorado

Sources for this page

Verify at the official NPI Registry.