Organization
SP SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN LYNN STANDEFER MSCCCSLP (OWNER)
(575) 309-3434
Entity
Organization
Contact information
Practice address
1304 PILE ST STE 3, CLOVIS, NM 88101-5947
(575) 309-3434
Mailing address
1225 LIBRA DR, PORTALES, NM 88130-6125
(575) 309-3434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
01/29/2026
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