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NPI Code Detail

MEDICARE: MR. JAMIE ALEXANDER BUDHAN SLP-CF

MEDICARE: MR. JAMIE ALEXANDER BUDHAN SLP-CF
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 Pathologist

General Provider Information

NPI Number : 1740746148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMIE ALEXANDER BUDHAN SLP-CF
Provider Business Mailing Address
First Line : 2233 ACADEMY PL STE 200
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1666
Country : US
Telephone Number : 719-822-0550
Fax Number :
Provider Business Practice Location Address
First Line : 901 N SANTA FE AVE
Second Line :
City : FOUNTAIN
State : CO
Zip : 80817-1738
Country : US
Telephone Number : 719-822-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2019
Last Update Date : 02/19/2024

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Directions to “ MR. JAMIE ALEXANDER BUDHAN SLP-CF” Practice Location

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