Individual
MRS. JENNIFER DIANE ENOTE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
22 SALT LAKE ROAD, DOWA YALANNE ELEMENTARY, ZUNI, NM 87327
(505) 782-4441
(505) 782-5879
Mailing address
PO BOX 1691, ZUNI, NM 87327-1691
(505) 782-4294
(505) 782-5879
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000G6294
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G6294
—
NM
Enumeration date
02/28/2007
Last updated
07/08/2007
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