Individual
MARIANA LEVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1020 PATTON ST, FORT COLLINS, CO 80524-4018
(970) 484-7981
Mailing address
743 BOLTZ DR, FORT COLLINS, CO 80525-2702
(915) 205-1152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0004688
CO
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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