Provider Demographics
NPI:1831529106
Name:MANION-TOWNER, MARIELLA
Entity type:Individual
Prefix:MS
First Name:MARIELLA
Middle Name:
Last Name:MANION-TOWNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 S LINCOLN ST
Mailing Address - Street 2:SUITE 111G
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7950 S LINCOLN ST
Practice Address - Street 2:SUITE 111G
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2727
Practice Address - Country:US
Practice Address - Phone:303-638-6468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-22
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP0000822235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist