Daniel Bower, CCC-SLP

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

NPI 1982157756 · NPPES record last updated Jul 28, 2016

Key facts

NPI
1982157756
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP.0001869 (CO)
Practice address
1310 Mount Meeker Ave
Berthoud, CO 80513-9302
Phone
(970) 227-3126
NPI assigned
Jul 28, 2016
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
SLP.0001869COMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0001869 CO Yes

Addresses

Primary practice location

1310 Mount Meeker Ave
Berthoud, CO 80513-9302

Mailing address

1310 Mount Meeker Ave
Berthoud, CO 80513-9302

Other providers in Berthoud, CO

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

Sources for this page

Verify at the official NPI Registry.