Organization
HIGH DESERT LANGUAGE AND LEARNING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA L BEAMSLEY M.S., CCC-SP (MANAGING MEMBER)
(505) 722-2844
Entity
Organization
Contact information
Practice address
1010 MILDA ST, GALLUP, NM 87301-7022
(505) 722-2844
(505) 863-3964
Mailing address
1010 MILDA ST, GALLUP, NM 87301-7022
(505) 722-2844
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2879
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03050889000
CRS
NM
Enumeration date
04/20/2007
Last updated
08/22/2020
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