Individual provider · Type 1 NPI

Mary Theresa Manzano, M.S. CCC-SLP

Speech-Language Pathologist · Woodland Park, CO

NPI number 1750436010 Active

Practice location

1604 Columbine Village Dr
Woodland Park, CO 80863-8339

Call (737) 787-7367 Map

Mailing address

PO Box 242
Lakeside, OR 97449-0242

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X016183 (OR)
Speech-Language Pathologist 235Z00000XLL61410586 (WA)
Speech-Language Pathologist 235Z00000X5589 (CO)
Speech-Language Pathologist 235Z00000XSLP4815 (AZ)
Speech-Language Pathologist Primary 235Z00000X13710 (CA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1750436010

Mary Theresa Manzano, M.S. CCC-SLP's National Provider Identifier is 1750436010, issued on Jan 24, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Woodland Park, CO. The record was last updated on Oct 3, 2023.