MEDICARE: KATIE MONSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1861025488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE MONSON

Provider Business Mailing Address
First Line	:	4136 COOLWATER DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-5522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4136 COOLWATER DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-5522
Country	:	US
Telephone Number	:	402-805-7086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2020
Last Update Date	:	02/21/2020

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Directions to “ KATIE MONSON ” Practice Location

Language	Start Address	Practice Location

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