Provider Demographics
NPI:1407017171
Name:CHISOLM, MARIA ELENA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ELENA
Last Name:CHISOLM
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9348 W UTAH AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6475
Mailing Address - Country:US
Mailing Address - Phone:720-696-2317
Mailing Address - Fax:720-328-2043
Practice Address - Street 1:9348 W UTAH AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6475
Practice Address - Country:US
Practice Address - Phone:720-696-2317
Practice Address - Fax:720-328-2043
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist