Erin Standefer, MSCCCSLP | |
1225 Libra Dr, Portales, NM 88130-6125 | |
(575) 309-3434 | |
Not Available |
Full Name | Erin Standefer |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 1225 Libra Dr, Portales, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114379229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 5979 (New Mexico) | Primary |
Provider Name | Eastern New Mexico University |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356115273 PECOS PAC ID: 1153766753 Enrollment ID: O20240305000546 |
Mailing Address | Practice Location Address |
---|---|
Erin Standefer, MSCCCSLP 1225 Libra Dr, Portales, NM 88130-6125 Ph: (575) 309-3434 | Erin Standefer, MSCCCSLP 1225 Libra Dr, Portales, NM 88130-6125 Ph: (575) 309-3434 |
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 | |
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 |