Individual
DEBORAH P VANHECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.T.
Contact information
Practice address
8 CALLE MEDICO, SANTA FE, NM 87505
(505) 424-8777
(505) 424-9777
Mailing address
871 DON CUBERO AVE, SANTA FE, NM 87505
(505) 989-9635
(505) 424-9777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
491
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10014142
LOVELACE
—
05
—
23931281
—
NM
01
—
2413411
UHC
—
01
—
810849380
PHCS
—
01
—
NM00E226
BCBS NM
NM
01
—
PROVP16732
MOLINA
—
Enumeration date
12/11/2006
Last updated
09/16/2011
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