Organization
NEW MEXICO STATE UNIVERSITY SPEECH AND HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE E STOUT PH.D., CCC-SLP (CO-DIRECTOR OF CD PROGRAM)
(505) 646-2364
Entity
Organization
Contact information
Practice address
CORNER OF UNIVERSITY AND JORDAN, SPEECH BLDG. ROOM 158, LAS CRUCES, NM 88003-8001
(505) 646-3906
(505) 646-3140
Mailing address
PO BOX 30001, LAS CRUCES, NM 88003-8001
(505) 646-3906
(505) 646-3140
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6545
NM
235Z00000X
Speech-Language Pathologist
6545
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L3211
—
NM
Enumeration date
09/26/2006
Last updated
09/11/2025
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