Individual
CHRISTIANNE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2775 N ROADRUNNER PKWY APT 1803, LAS CRUCES, NM 88011-8126
(575) 527-5823
Mailing address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6022
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
NM
Enumeration date
08/19/2014
Last updated
09/01/2016
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