MEDICARE: MS. RHONDA MARIE PATROM M.A. CF-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
1	235Z00000X	Speech-Language Pathologist	24435431	CO

General Provider Information

NPI Number	:	1558137133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RHONDA MARIE PATROM M.A. CF-SLP

Provider Business Mailing Address
First Line	:	352 ZION ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80011-8636
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 S SABLE BLVD
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-4631
Country	:	US
Telephone Number	:	720-251-3777
Fax Number	:

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

Provider Enumeration Date	:	11/27/2023
Last Update Date	:	11/27/2023

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