Individual
BETHANY MANZANARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1300 PLAZA CT N STE 101, LAFAYETTE, CO 80026-1467
(720) 515-4487
Mailing address
745 E SOUTH BOULDER RD APT E332, LOUISVILLE, CO 80027-2551
(720) 515-4487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111998
CO
Other
Enumeration date
06/27/2014
Last updated
12/27/2023
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