Individual
DANIEL LEE CUMMINGS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
101 N 2ND ST, RATON, NM 87740-3803
(505) 445-7090
Mailing address
1396 BRILLIANT ST, RATON, NM 87740-2208
(505) 228-8540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3467
NM
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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