Provider Demographics
NPI:1538122916
Name:DILELLO, ANNA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:
Last Name:DILELLO
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 1:2801 E 120TH AVE
Mailing Address - Street 2:APT F 208
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1499
Mailing Address - Country:US
Mailing Address - Phone:720-939-3967
Mailing Address - Fax:
Practice Address - Street 1:10365 JULIAN CT
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6706
Practice Address - Country:US
Practice Address - Phone:720-350-3050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12099464235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82321345Medicaid