Most Relevant Information
Provider Data
| NPI Number: | 1003217035 |
| Provider Name: | ROBERT E VICKERY M.A., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/09/2014 |
| Last Updated: | 04/07/2023 |
Provider Practice Location
11169 E I25 FRONTAGE RD STE B
FIRESTONE
CO
805045276
Practice Location Phone/Fax
| Phone: | 7203786670 |
| Fax: | 3035579701 |
Provider Mailing Location
4227 W 111TH CIR
WESTMINSTER
CO
800312125
Provider Mailing Phone/Fax
| Phone: | 7206706243 |
| Fax: | 7208153343 |