Provider Demographics
NPI:1578328837
Name:MASZTALERZ, GABRIELA ANNA (MA, CF-SLP)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:ANNA
Last Name:MASZTALERZ
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9025 BRAINARD DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7629
Mailing Address - Country:US
Mailing Address - Phone:719-440-6420
Mailing Address - Fax:
Practice Address - Street 1:1810 N GATE BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3114
Practice Address - Country:US
Practice Address - Phone:719-234-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSLP.0001178235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist