Individual
MS. BERNADETTE ROYBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SP
Contact information
Practice address
1300 CAMINO SIERRA VIS, SANTA FE, NM 87505-1007
(505) 467-2331
Mailing address
2615 VIA CABALLERO DEL NORT, SANTA FE, NM 87505-6527
(505) 467-3221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
302
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H7246
—
NM
Enumeration date
03/09/2007
Last updated
07/08/2007
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