Mary Theresa Manzano, M.S. CCC-SLP
NPI 1750436010ActiveIndividual· Speech-Language Pathologist· Woodland Park, CO
Speech-Language Pathologist (M.S. CCC-SLP) in Woodland Park, Colorado, licensed in CA, OR, WA and CO and other states, with an NPI issued in January 2007.
Overview
| NPI | 1750436010 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S. CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jan 24, 2007 |
| Last updated in NPPES | Oct 3, 2023 |
| Certified by provider | Oct 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 13710 | CA |
| Speech-Language Pathologist | 235Z00000X | 016183 | OR |
| Speech-Language Pathologist | 235Z00000X | LL61410586 | WA |
| Speech-Language Pathologist | 235Z00000X | 5589 | CO |
| Speech-Language Pathologist | 235Z00000X | SLP4815 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other speech-language pathologists in Woodland Park
- 1013278894
- 1104281906
- 1881206647
- 1922260041
- 1912297409
- 1033943063
- 1982942546
- 1861761645
- 1245344662
- 1548093800
- 1942034236
- 1437920154
All 16 speech-language pathologists in Woodland Park · All speech-language pathologists in Colorado