Individual
MRS. TANISHA REA ADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4490
(575) 769-4330
Mailing address
PO BOX 19000, CLOVIS, NM 88102-9000
(575) 769-4490
(575) 769-4330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5752
NM
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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