Provider Demographics
NPI:1801322847
Name:RENNER, VERONICA (SLP-CFY)
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:RENNER
Suffix:
Gender:F
Credentials:SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1556 S SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2622
Mailing Address - Country:US
Mailing Address - Phone:417-207-4504
Mailing Address - Fax:
Practice Address - Street 1:1556 S SHERMAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2622
Practice Address - Country:US
Practice Address - Phone:417-207-4504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist