Provider Demographics
NPI:1518141738
Name:CASE, TERESA (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:CASE
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:
Other - Last Name:CASE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP-CCC
Mailing Address - Street 1:215 SAINT PAUL ST
Mailing Address - Street 2:STE 205
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5124
Mailing Address - Country:US
Mailing Address - Phone:303-333-4062
Mailing Address - Fax:303-333-4097
Practice Address - Street 1:215 SAINT PAUL ST
Practice Address - Street 2:SUITE 205
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5124
Practice Address - Country:US
Practice Address - Phone:303-333-4062
Practice Address - Fax:303-333-4097
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst