Enmu Speech And Hearing Rehabilitation Outreach Cent | |
1500 S Avenue K # 3, Portales, NM 88130-7401 | |
(575) 562-2156 | |
(575) 562-2380 |
Full Name | Enmu Speech And Hearing Rehabilitation Outreach Cent |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 1500 S Avenue K # 3, Portales, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356115273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Erin Standefer |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1114379229 PECOS PAC ID: 5496190092 Enrollment ID: I20240305000904 |
Provider Name | Suzanne House Swift |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1215717236 PECOS PAC ID: 5395180905 Enrollment ID: I20240305001079 |
Provider Name | Rebecca Kaci Dewbre |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1831616705 PECOS PAC ID: 8123463742 Enrollment ID: I20240305001397 |
Provider Name | Seana Evelyn |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1659495943 PECOS PAC ID: 3072958602 Enrollment ID: I20240305001655 |
Provider Name | Priyanka Shailat |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1154840288 PECOS PAC ID: 8325483969 Enrollment ID: I20240305002107 |
Provider Name | Lacy Plummer |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1134510712 PECOS PAC ID: 8527403179 Enrollment ID: I20240305002410 |
Provider Name | Nicole L Whitehouse |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1790056687 PECOS PAC ID: 2163868639 Enrollment ID: I20240307001155 |
Provider Name | Laura Bucknell |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1457880296 PECOS PAC ID: 8224479035 Enrollment ID: I20240510002115 |
Mailing Address | Practice Location Address |
---|---|
Enmu Speech And Hearing Rehabilitation Outreach Cent 1500 S Avenue K # 3, Portales, NM 88130-7401 Ph: (575) 562-2156 | Enmu Speech And Hearing Rehabilitation Outreach Cent 1500 S Avenue K # 3, Portales, NM 88130-7401 Ph: (575) 562-2156 |
Ciara Foust, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 S Abilene Ave, Portales, NM 88130 Phone: 575-359-3707 | |
Ms. Melissa Diane Pacheco, M.S., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 S Abilene Ave, Portales, NM 88130 Phone: 505-359-3707 | |
James William Lovell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 S Avenue K, Portales, NM 88130 Phone: 575-562-4232 | |
Erin Standefer, MSCCCSLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1225 Libra Dr, Portales, NM 88130 Phone: 575-309-3434 | |
Mrs. Tiffany Marie Huizenga, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 S Abilene, Portales, NM 88130 Phone: 505-359-3707 Fax: 505-356-6682 | |
Taylor Rae Crabtree, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 S Ave K, Station 3, Shroc, Portales, NM 88130 Phone: 575-562-2160 | |
Ms. Deanna Mari Cordova, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1517 S Main Ave, Portales, NM 88130 Phone: 575-749-2711 |