Doctor Name: | TERESA DEANDA |
NPI Number: | 1134362361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH PATHOLOGIST |
License Number: | 01044457 |
Business Practice Address: | 777 S Wadsworth Blvd Suite 1-206 Lakewood, CO - 802264300 |
Business Phone Number: | 3037635167 |
Business Fax Number: | 3037584847 |
Mailing Address: | 777 S Wadsworth Blvd, Suite 1-206 LAKEWOOD |
State: | CO |
Postal Code: | 802264300 |
Phone Number: | 3037635167 |
Fax Number: | 3037584847 |
NPI Enumeration Date: | 04/17/2009 |
NPI Last Update Date: | 04/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01044457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |