Individual
JILL SABERHAGEN-SCHORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
200 CENTER ST, MORIARTY, NM 87035-2000
(505) 832-5817
Mailing address
PO BOX 2000, MORIARTY, NM 87035-2000
(505) 832-5817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2066
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2066
STATE LICENSE
NM
01
—
252903
PED LICENSE
NM
Enumeration date
01/15/2010
Last updated
01/15/2010
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