| Doctor Name: | ELIZABETH CLANCY |
| NPI Number: | 1265815468 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | SLP.0001816 |
| Business Practice Address: | 2790 N Academy Blvd Suite 227 Colorado Springs, CO - 809175337 |
| Business Phone Number: | 7194257771 |
| Business Fax Number: | 7192087730 |
| Mailing Address: | 2790 N Academy Blvd, Suite 227 COLORADO SPRINGS |
| State: | CO |
| Postal Code: | 809175337 |
| Phone Number: | 7194257771 |
| Fax Number: | 7192087730 |
| NPI Enumeration Date: | 07/07/2015 |
| NPI Last Update Date: | 07/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP.0001816 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| 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 |