Most Relevant Information
Provider Data
| NPI Number: | 1003434895 |
| Provider Name: | KIRK SEYMOUR WYDNER CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | PSLP.0000486 |
Most Important Dates
| Enumeration Date: | 07/08/2020 |
| Last Updated: | 04/14/2021 |
Provider Practice Location
1224 5TH ST
DENVER
CO
802042006
Practice Location Phone/Fax
| Phone: | 7208480000 |
| Fax: |
Provider Mailing Location
PO BOX 110429
AURORA
CO
800420429
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |