Individual
TANYA MARIE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
211 BLUE SKY LN, MESILLA PARK, NM 88047-9751
(575) 496-6604
Mailing address
211 BLUE SKY LN, MESILLA PARK, NM 88047-9751
(575) 496-6604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7042
NM
Other
Enumeration date
02/23/2021
Last updated
02/11/2022
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