Provider Demographics
NPI:1811190051
Name:SHOW, FAITH L (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:L
Last Name:SHOW
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4221 BERGEMANN RD
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81005-9601
Mailing Address - Country:US
Mailing Address - Phone:724-971-5300
Mailing Address - Fax:
Practice Address - Street 1:4221 BERGEMANN RD
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-9601
Practice Address - Country:US
Practice Address - Phone:724-971-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP1089235Z00000X
PASL009583235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist