Organization
ESPANOLA PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID COCKERHAM (SUPERINTENDENT)
(505) 753-2254
Entity
Organization
Contact information
Practice address
714 CALLE DON DIEGO, ESPANOLA, NM 87532-3414
(505) 753-2254
Mailing address
PO BOX 1005, CHIMAYO, NM 87522-1005
(505) 660-7822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2692
NM
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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