Provider Demographics
NPI:1780045443
Name:MARONEY, ANNE ESTHER (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:ESTHER
Last Name:MARONEY
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:PO BOX 651
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:CO
Mailing Address - Zip Code:81069-0651
Mailing Address - Country:US
Mailing Address - Phone:719-252-2032
Mailing Address - Fax:
Practice Address - Street 1:5148 LITTLE RAVEN DRIVE
Practice Address - Street 2:
Practice Address - City:COLORADO CITY
Practice Address - State:CO
Practice Address - Zip Code:81019
Practice Address - Country:US
Practice Address - Phone:719-252-2032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0001413235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist