| Gwen Patriarca, SLP | |
|
1600 Sutter Place, Student Support Center, Clovis, NM 88012-9000 | |
| (575) 769-4490 | |
| (575) 769-4533 |
| Full Name | Gwen Patriarca |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1600 Sutter Place, Clovis, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679606677 | NPI | - | NPPES |
| K 3216 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 655 (New Mexico) | Secondary |
| 231H00000X | Audiologist | 655 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gwen Patriarca, SLP Po Box 19000, Clovis, NM 88102-9000 Ph: (575) 769-4490 | Gwen Patriarca, SLP 1600 Sutter Place, Student Support Center, Clovis, NM 88012-9000 Ph: (575) 769-4490 |
Ms. Beverly Elaine Riney Thering, MS CFA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2905 N Prince St Ste A, Clovis, NM 88101 Phone: 505-762-5355 Fax: 505-762-1999 | |
Lisa Claire Cannon, MS CCC A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Sutter Pl, Clovis, NM 88101 Phone: 505-769-4490 Fax: 505-935-0011 |