Individual
TANYA A ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W FLORIDA ST, DEMING, NM 88030-6302
(505) 546-0427
Mailing address
910 CALLE DEL ENCANTO, LAS CRUCES, NM 88005-3045
(915) 474-1261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3076
NM
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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