Aichel Campos Suarez

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

NPI 1396369641 · NPPES record last updated Aug 31, 2023

Key facts

NPI
1396369641
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
17230 Jackson Creek Pkwy
Monument, CO 80132-7301
Phone
(719) 597-0822
NPI assigned
Jun 2, 2020
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CO
Behavior Technician 106S00000X
Speech-Language Pathologist 235Z00000X CO Yes

Addresses

Primary practice location

17230 Jackson Creek Pkwy
Monument, CO 80132-7301

Mailing address

850 Dolan Dr
Monument, CO 80132-2219

Other providers in Monument, CO

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

Sources for this page

Verify at the official NPI Registry.