Organization
STAR COMMUNICATION DISORDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STARLIA S CLAYTON MS, CCC-SLP (SPEECH PATHOLOGIST)
(575) 799-2270
Entity
Organization
Contact information
Practice address
101 BURCH PL, CLOVIS, NM 88101-2920
(575) 799-2270
Mailing address
101 BURCH PLACE, CLOVIS, NM 88101
(575) 799-2270
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
3301
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33001
STATE OF NM REGULATION & LICENSING DEP. SPEECH LANGUAGE PATHOLOGY
NM
Enumeration date
02/26/2015
Last updated
02/26/2015
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