Provider Demographics
NPI:1174692578
Name:FERRER, PATTI MCGOWAN (MS CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:PATTI
Middle Name:MCGOWAN
Last Name:FERRER
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 1:6970 BLACKHAWK PL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-1125
Mailing Address - Country:US
Mailing Address - Phone:719-330-3594
Mailing Address - Fax:
Practice Address - Street 1:6970 BLACKHAWK PL
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-1125
Practice Address - Country:US
Practice Address - Phone:719-330-3594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist