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NPI Code Detail

MEDICARE: MRS. TAMARA ANN PETROWSKY GORMAN MS, CCC-SLP

MEDICARE: MRS. TAMARA ANN PETROWSKY GORMAN MS, CCC-SLP
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
1235Z00000XSpeech-Language Pathologist01129463
2235Z00000XSpeech-Language Pathologist0001116CO

General Provider Information

NPI Number : 1144470006
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMARA ANN PETROWSKY GORMAN MS, CCC-SLP
Provider Business Mailing Address
First Line : 1110 CHAPEL HILLS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3923
Country : US
Telephone Number : 719-234-1200
Fax Number :
Provider Business Practice Location Address
First Line : 1110 CHAPEL HILLS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3923
Country : US
Telephone Number : 719-234-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2008
Last Update Date : 08/18/2025

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Directions to “ MRS. TAMARA ANN PETROWSKY GORMAN MS, CCC-SLP” Practice Location

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