Individual
MARIANNE STOCKDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SPL
Contact information
Practice address
2822 S WHEELING WAY, AURORA, CO 80014-3482
(303) 353-4122
Mailing address
2822 S WHEELING WAY, AURORA, CO 80014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01035816
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29577039
—
CO
01
—
649046
ANTHEM
CO
Enumeration date
04/17/2007
Last updated
07/08/2007
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