Organization
'THERAPY IS FUN', INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY A. CHACON M.A.,CCC-SLP (PRESIDENT)
(505) 620-4129
Entity
Organization
Contact information
Practice address
13 DOS LOCOS, LOS LUNAS, NM 87031-5014
(505) 620-4129
(505) 216-0897
Mailing address
13 DOS LOCOS, LOS LUNAS, NM 87031-5014
(505) 620-4129
(505) 216-0897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3285
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07104219
—
NM
Enumeration date
04/27/2012
Last updated
04/27/2012
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