Individual
CHARLOTTE A BELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
N HWY 63, PECOS INDEPENDENT SCHOOLS, PECOS, NM 87552
(505) 757-4644
Mailing address
110 SAN SALVADOR LN, SANTA FE, NM 87501-1740
(505) 995-9776
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3764
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84852879
—
NM
Enumeration date
03/01/2007
Last updated
07/08/2007
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