MARY THERESA MANZANO

WOODLAND PARK, CO
NPI1750436010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  13710)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: OR  016183)
235Z00000X Speech-Language Pathologist,
(Licence: WA  LL61410586)
235Z00000X Speech-Language Pathologist,
(Licence: CO  5589)
235Z00000X Speech-Language Pathologist,
(Licence: AZ  SLP4815)
Enumeration Date2007-01-24
Last Update Date2023-10-03
Business Address
Mrs. MARY THERESA MANZANO M.S. CCC-SLP
1604 COLUMBINE VILLAGE DR
WOODLAND PARK, CO 80863-8339
Phone number: 737-787-7367
Mailing Address
Mrs. MARY THERESA MANZANO M.S. CCC-SLP
PO BOX 242
LAKESIDE, OR 97449-0242
Phone number: 928-243-3245