| Jackie Long, MS CCC-SLP | |
|
3401 E 30th St, Farmington, NM 87402-8805 | |
| (505) 599-8617 | |
| (855) 290-2205 |
| Full Name | Jackie Long |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3401 E 30th St, Farmington, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689405524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SAH-2024-0179 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Long, MS CCC-SLP 4623 Balboa Park Loop, Bradenton, FL 34211-4962 Ph: (806) 440-1663 | Jackie Long, MS CCC-SLP 3401 E 30th St, Farmington, NM 87402-8805 Ph: (505) 599-8617 |
Courtney Garcia, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1400a E 20th St, Farmington, NM 87401 Phone: 505-599-8762 Fax: 855-290-2205 | |
Mrs. Emily Ruth Roberts, BS, MS, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Mccormick School Rd, Farmington, NM 87401 Phone: 505-599-8606 | |
Michael L Valentine, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1390 E 20th St, Farmington, NM 87401 Phone: 505-599-8535 Fax: 505-599-8536 | |
Jennifer L Robinson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1390 E 20th St, Farmington, NM 87401 Phone: 505-599-8535 Fax: 505-599-8536 | |
Shanice Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1701 Cliffside Dr Apt D, Farmington, NM 87401 Phone: 210-528-0127 | |
Mildred S Guemmer, MS-CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1390 E 20th St, Farmington, NM 87401 Phone: 505-599-8535 Fax: 505-599-8536 | |
Nancy Elizabeth Buyok, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1390 E 20th St, Farmington, NM 87401 Phone: 505-599-8535 Fax: 505-599-8536 |