Individual
JEANNETTE L. WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2148 SAGECREST LOOP NE, RIO RANCHO, NM 87144-2856
(505) 463-8195
Mailing address
2148 SAGECREST LOOP NE, RIO RANCHO, NM 87144-2856
(505) 463-8195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
289
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01030680
AMERICAN SPEECH, LANGUAGE, HEARING CERTIFICATION NUMBER
NM
01
—
289
NEW MEXICO STATE LICENSURE FOR SPEECH PATHOLOGY
NM
Enumeration date
09/18/2012
Last updated
09/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us