Organization
PEDIATRIC SPEAK EASY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMNERIS CRUZ MA., CCC/SLP (SPEECH LANGUAGE PATHOLOGIST)
(862) 247-7094
Entity
Organization
Contact information
Practice address
213 N MEDINA AVE, CHAMBERINO, NM 88027
(862) 247-7094
(575) 448-7333
Mailing address
PO BOX 146, CHAMBERINO, NM 88027-0146
(862) 247-7094
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33782334
—
NM
Enumeration date
05/27/2021
Last updated
03/24/2026
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