Individual
CHRISTLE LANETTE BEARHEELS-RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10401 PRESTWICK NE, ALBUQUERQUE, NM 87111-6554
(505) 227-0247
Mailing address
10401 PRESTWICK NE, ALBUQUERQUE, NM 87111-6554
(505) 227-0247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4896
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4896
SLP LICENSE
NM
Enumeration date
05/21/2013
Last updated
09/16/2015
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