Organization
ESPANOLA PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID COCKERHAM (SUPERINTENDENT)
(505) 753-2254
Entity
Organization
Contact information
Practice address
714 CALLE DON DIEGO, ESPANOLA, NM 87532-3414
(505) 367-3342
Mailing address
714 CALLE DON DIEGO, ESPANOLA, NM 87532-3414
(505) 367-3342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
34659714
NM
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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