Provider Demographics
NPI:1013253517
Name:THERESA M. SNELLING, M.A., CCC-SLP
Entity Type:Organization
Organization Name:THERESA M. SNELLING, M.A., CCC-SLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SNELLING
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:303-232-5711
Mailing Address - Street 1:9255 W ALAMEDA AVE.
Mailing Address - Street 2:UNIT C
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226
Mailing Address - Country:US
Mailing Address - Phone:303-232-5711
Mailing Address - Fax:303-232-5711
Practice Address - Street 1:9255 W ALAMEDA AVE
Practice Address - Street 2:UNIT C
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226
Practice Address - Country:US
Practice Address - Phone:303-232-5711
Practice Address - Fax:303-232-5711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty