Provider Demographics
NPI:1194236893
Name:DELANEY, MAUREEN K (SLP)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:K
Last Name:DELANEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 LEAVENSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:HINESBURG
Mailing Address - State:VT
Mailing Address - Zip Code:05461-9301
Mailing Address - Country:US
Mailing Address - Phone:802-598-3557
Mailing Address - Fax:
Practice Address - Street 1:704 LEAVENSWORTH RD
Practice Address - Street 2:
Practice Address - City:HINESBURG
Practice Address - State:VT
Practice Address - Zip Code:05461-9301
Practice Address - Country:US
Practice Address - Phone:802-598-3557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-20
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT144.0114993235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT144.0114993OtherSTATE OF VERMONT SPEECH LANGUAGE PATHOLOGIST CREDENTIAL #
VT8025907OtherVT PROFESSIONAL EDUCATOR LICENSE (LEVEL II ) EDUCATOR ID#