| Michele Marie Busch, | |
|
State Road 531, Tierra Amarilla, NM 87575-9701 | |
| (505) 588-7285 | |
| Not Available |
| Full Name | Michele Marie Busch |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | State Road 531, Tierra Amarilla, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710040407 | NPI | - | NPPES |
| 61128007 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3472 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Marie Busch, Po Box 496, Chama, NM 87520-0496 Ph: (505) 756-1023 | Michele Marie Busch, State Road 531, Tierra Amarilla, NM 87575-9701 Ph: (505) 588-7285 |
Mrs. Deborah Jan Wilson, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: State Rd 531, Chama Valley Schools, Tierra Amarilla, NM 87575 Phone: 575-588-7297 Fax: 575-588-7970 | |
Mrs. Sharlene Nicole Sandoval, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: St Rd 531 Bldg 1, Tierra Amarilla, NM 87575 Phone: 575-588-7297 |