Individual
MARIEL RASCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
38 GAVIOTA, TRUTH OR CONSEQUENCES, NM 87901
(915) 219-1776
Mailing address
PO BOX 3522, TRUTH OR CONSEQUENCES, NM 87901-7522
(915) 219-1776
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
37123
TX
235Z00000X
Speech-Language Pathologist
Primary
SLP6422
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
10/04/2012
Last updated
07/06/2023
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