Individual
SEANA EVELYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1500 S AVENUE K # 3, PORTALES, NM 88130-7400
(575) 562-4232
Mailing address
1500 S AVENUE K # 3, PORTALES, NM 88130-7400
(575) 562-4232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3313
NM
235Z00000X
Speech-Language Pathologist
Primary
SLP7578
NM
Other
Enumeration date
03/19/2007
Last updated
10/14/2023
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