Organization
SPEAK THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE C HERNANDEZ M.S., CCC-SLP (OWNER)
(915) 526-1211
Entity
Organization
Contact information
Practice address
1300 LOPEZ RD, CHAMBERINO, NM 88002
(915) 526-1211
Mailing address
PO BOX 744, CHAMBERINO, NM 88027-0744
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
105155
TX
235Z00000X
Speech-Language Pathologist
Primary
5455
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50579339
—
NM
Enumeration date
02/26/2015
Last updated
05/05/2015
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