Individual
MR. JAY RICHARD HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
5300 FOOTHILLS DR, FARMINGTON, NM 87402-8279
(505) 599-8604
Mailing address
5804 ARROYO DR, FARMINGTON, NM 87402-5008
(303) 709-1449
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6143
NM
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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