Individual
ERIN STANDEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSCCCSLP
Contact information
Practice address
1225 LIBRA DR, PORTALES, NM 88130-6125
(575) 309-3434
Mailing address
1225 LIBRA DR, PORTALES, NM 88130-6125
(575) 309-3434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5979
NM
Other
Enumeration date
07/13/2016
Last updated
09/25/2023
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