Individual
MS. VANESSA DERNICE SABIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
1515 SUNSET BLVD, ROSWELL, NM 88201
(254) 979-8782
Mailing address
702 E COUNTRY CLUB RD, ROSWELL, NM 88201-7608
(254) 979-8782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2556
LA
235Z00000X
Speech-Language Pathologist
Primary
6531
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891066387
—
LA
Enumeration date
01/16/2012
Last updated
07/28/2022
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