| Yucca Therapy Services | |
|
211 Blue Sky Ln Mesilla Park NM 88047-9751 | |
| (575) 496-0899 | |
| (575) 377-8373 |
| Full Name | Yucca Therapy Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 211 Blue Sky Ln, Mesilla Park, New Mexico |
| Authorized Official Name and Position | Maria Trujillo (OWNER, SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 5754960899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yucca Therapy Services 211 Blue Sky Ln Mesilla Park NM 88047-9751 Ph: (575) 496-0899 | Yucca Therapy Services 211 Blue Sky Ln Mesilla Park NM 88047-9751 Ph: (575) 496-0899 |
| NPI Number | 1275924839 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275924839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I3577 (New Mexico) | Primary |
| 235Z00000X | Speech-language Pathologist | 1769 (New Mexico) | Secondary |