Healthcare Provider Details

I. General information

NPI: 1023229341
Provider Name (Legal Business Name): MAUREEN ELIZABETH CRESWELL MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 PLAZA DR
LOUISVILLE CO
80027-2325
US

IV. Provider business mailing address

2533 W 108TH PL
WESTMINSTER CO
80234-3148
US

V. Phone/Fax

Practice location:
  • Phone: 303-926-3849
  • Fax: 303-604-6573
Mailing address:
  • Phone: 303-469-7850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number09140677
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: