Provider Demographics
NPI:1932331196
Name:ARMIJO, CARLY J (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CARLY
Middle Name:J
Last Name:ARMIJO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5132 S LISBON WAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6439
Mailing Address - Country:US
Mailing Address - Phone:303-552-7765
Mailing Address - Fax:
Practice Address - Street 1:5132 S LISBON WAY
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-6439
Practice Address - Country:US
Practice Address - Phone:303-552-7765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist