Individual
CHRISTINE KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1303 PASEO DEL CANON, TAOS, NM 87571
(505) 751-7222
Mailing address
416 LIEBERT RD APT 9, TAOS, NM 87571-6657
(505) 751-7222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3958
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89232780
—
NM
05
—
95079777
—
NM
Enumeration date
02/13/2007
Last updated
07/09/2007
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