Individual
MRS. THERESA TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
10184 E I25 FRONTAGE RD, FIRESTONE, CO 80504-5445
(720) 378-6670
Mailing address
439 THISTLE PL, LONGMONT, CO 80504-3907
(720) 939-0499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0001701
CO
Other
Enumeration date
09/25/2016
Last updated
09/25/2016
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