Mary Theresa Manzano, M.S. CCC-SLP
Speech-Language Pathologist, in Woodland Park, CO. Individual provider (NPI-1).
NPI number1750436010
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1750436010
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Theresa Manzano
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2007
- Certification date
- Oct 3, 2023
- Last updated
- Oct 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 13710 | CA | Yes |
| 235Z00000X | Speech-Language Pathologist, | 016183 | OR | |
| 235Z00000X | Speech-Language Pathologist, | LL61410586 | WA | |
| 235Z00000X | Speech-Language Pathologist, | 5589 | CO | |
| 235Z00000X | Speech-Language Pathologist, | SLP4815 | AZ |
Practice location
1604 Columbine Village DrWoodland Park, CO 80863-8339
Phone 737-787-7367
Mailing address
Po Box 242Lakeside, OR 97449-0242
Phone 928-243-3245
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Other Speech-Language Pathologist providers in Woodland Park, CO
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- Kandi CoyleNPI 1033943063
- Jessica Marie Guida, M.A.,CCC-SLPNPI 1982942546
- Darlene Therese HuneraNPI 1861761645
- Innerbloom TherapyNPI 1881206647
- Julie Jabaay, M.A., CCC-SLPNPI 1245344662
- Holly Christine JohnsonNPI 1548093800
- Michelle Annette Johnson, CCC-SLPNPI 1942034236
- Kingdom Pediatric TherapyNPI 1104281906
All 16 Speech-Language Pathologist providers in Woodland Park · All 362 providers in Woodland Park
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