Provider Demographics
NPI:1093594939
Name:MEIER, ELIZABETH ANNE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNE
Last Name:MEIER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:LIBBY
Other - Middle Name:ANNE
Other - Last Name:MEIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:4665 TANGLEVINE DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-4567
Mailing Address - Country:US
Mailing Address - Phone:303-387-5825
Mailing Address - Fax:
Practice Address - Street 1:4665 TANGLEVINE DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-4567
Practice Address - Country:US
Practice Address - Phone:303-387-5825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO219409235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist