Healthcare Provider Details

I. General information

NPI: 1720791312
Provider Name (Legal Business Name): MARYBETH TOERPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2022
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 E 37TH AVE
DENVER CO
80205-3412
US

IV. Provider business mailing address

1621 E 37TH AVE
DENVER CO
80205-3412
US

V. Phone/Fax

Practice location:
  • Phone: 513-238-1389
  • Fax:
Mailing address:
  • Phone: 513-238-1389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: