Individual
MR. MERRILL CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
1329 FERGUSON LN, SANTA FE, NM 87505-6213
(505) 473-5497
Mailing address
1329 FERGUSON LN, SANTA FE, NM 87505-6213
(505) 473-5497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1371
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K7913
—
NM
Enumeration date
03/28/2007
Last updated
07/08/2007
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