Provider Demographics
NPI:1518576149
Name:YANEZ, ARIANA
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:YANEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29900 COUNTY ROAD 22.5
Mailing Address - Street 2:
Mailing Address - City:GRANADA
Mailing Address - State:CO
Mailing Address - Zip Code:81041-9728
Mailing Address - Country:US
Mailing Address - Phone:719-691-1580
Mailing Address - Fax:
Practice Address - Street 1:2325 LODGE DR
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-6825
Practice Address - Country:US
Practice Address - Phone:308-436-5007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist