Provider Demographics
NPI:1215622998
Name:ALLEN, TERRAN LYNN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TERRAN
Middle Name:LYNN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:TERRAN
Other - Middle Name:LYNN
Other - Last Name:TRAUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2065 TERRI LEE DR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-7581
Mailing Address - Country:US
Mailing Address - Phone:719-337-9524
Mailing Address - Fax:
Practice Address - Street 1:12050 FALCON HWY
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-8076
Practice Address - Country:US
Practice Address - Phone:719-495-5272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0004125235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist