Individual
MS. CELENA DIANE TABET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4201 EMERALD ST, LAS CRUCES, NM 88012-9520
(575) 527-9636
Mailing address
301 PERKINS DR, SUITE B, LAS CRUCES, NM 88005-3248
(505) 720-8848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4732
NM
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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