Provider Demographics
NPI:1063646412
Name:ERNST, MARIAN MARIENAU (CCC SLP/A)
Entity Type:Individual
Prefix:MRS
First Name:MARIAN
Middle Name:MARIENAU
Last Name:ERNST
Suffix:
Gender:F
Credentials:CCC SLP/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 SOUTH UNIVERSITY BLVD.
Mailing Address - Street 2:UNIT 168
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-6064
Mailing Address - Country:US
Mailing Address - Phone:303-777-0740
Mailing Address - Fax:303-777-0740
Practice Address - Street 1:2800 SOUTH UNIVERSITY BLVD.
Practice Address - Street 2:UNIT 168
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-6064
Practice Address - Country:US
Practice Address - Phone:303-777-0740
Practice Address - Fax:303-777-0740
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist