Individual
LISA S. YEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1211 HAWAII AVE, ALAMOGORDO, NM 88310-6437
(505) 439-3200
Mailing address
27 VILLA CHRISTINA, LA LUZ, NM 88337-9540
(505) 437-1158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2628
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B6763
—
NM
Enumeration date
08/31/2006
Last updated
07/09/2007
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