Individual provider · Type 1 NPI

Larisa M. Wilder, CCC-SLP

Speech-Language Pathologist · Boulder, CO

NPI number 1861718033 Active

Practice location

3825 Monterey Place
Boulder, CO 80301

Fax (720) 536-8948

Mailing address

3825 Monterey Pl
Boulder, CO 80301-1516

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X12119008 (AZ)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1861718033

Larisa M. Wilder, CCC-SLP's National Provider Identifier is 1861718033, issued on Apr 13, 2010. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Boulder, CO. The record was last updated on Jan 2, 2014.