Organization
SANTA FE PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSANNE CLAIRE LOCKFORD M.A. (SPEECH LANGUAGE PATHOLOGIST)
(505) 471-1974
Entity
Organization
Contact information
Practice address
610 ALTA VISTA ST, SANTA FE, NM 87505-4149
(505) 467-2502
Mailing address
2336 CAMINO DEL PRADO, SANTA FE, NM 87507-4882
(505) 471-1974
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
708
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J2761
—
NM
Enumeration date
03/02/2007
Last updated
08/22/2020
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