Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mary Theresa Manzano, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1750436010

Mrs. Mary Theresa Manzano, MSCCC-SLP is a Speech-Language Pathologist in Woodland Park, Colorado. Licensed in Arizona, California, Colorado and Oregon and 1 more. Registered with an NPI since 2007.

Licensed in
AZ, CA, CO, OR, WA
In the registry since
2007
Specialties on file
5
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Practice location Address checks out

1604 Columbine Village Dr
Woodland Park, CO 80863-8339
Phone: (737) 787-7367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 13710 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 016183 (OR)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence LL61410586 (WA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 5589 (CO)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP4815 (AZ)

Record details

NPI number1750436010
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

Other providers in Woodland Park