Provider Demographics
NPI:1902255466
Name:MCCLAFLIN, GINA LYNN (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:LYNN
Last Name:MCCLAFLIN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:LYNN
Other - Last Name:FERRETTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3303 W 144TH AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-9464
Mailing Address - Country:US
Mailing Address - Phone:303-284-6569
Mailing Address - Fax:303-635-6363
Practice Address - Street 1:3303 W 144TH AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-9464
Practice Address - Country:US
Practice Address - Phone:303-284-6569
Practice Address - Fax:303-635-6363
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSLP.0000056235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist