| Briana Radosevich Bustos, CCC-SLP | |
|
1350 Hillrise Cir, Las Cruces, NM 88011 | |
| (575) 522-9500 | |
| Not Available |
| Full Name | Briana Radosevich Bustos |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1350 Hillrise Cir, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164952958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6212 (New Mexico) | Primary |
| Provider Name | Espanola Sports Medicine Pa |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982777850 PECOS PAC ID: 2163691411 Enrollment ID: O20141114001053 |
| Mailing Address | Practice Location Address |
|---|---|
| Briana Radosevich Bustos, CCC-SLP 1350 Hillrise Cir, Las Cruces, NM 88011-4759 Ph: () - | Briana Radosevich Bustos, CCC-SLP 1350 Hillrise Cir, Las Cruces, NM 88011 Ph: (575) 522-9500 |
Ms. Anna Maria Benitez Lebron, MS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Perkins Dr, Suite B, Las Cruces, NM 88005 Phone: 575-526-6682 Fax: 575-523-7254 | |
Lisseth Carolina Sosa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St Ste 249, Las Cruces, NM 88001 Phone: 575-527-5884 Fax: 575-527-5886 | |
Carolina Herrera, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Perkins Dr, Las Cruces, NM 88005 Phone: 505-523-7243 Fax: 505-523-7254 | |
Ms. Elaine L Detrujillo, MA., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 249, Las Cruces, NM 88001 Phone: 505-527-5823 Fax: 505-527-5886 | |
Lissi Wandemberg Overcast, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7075 Purple Mountain Ave, Las Cruces, NM 88007 Phone: 575-571-0207 | |
Allison Norris, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1681 Hickory Loop, Las Cruces, NM 88005 Phone: 575-647-3773 Fax: 575-647-3777 | |
Ms. Carol Spencer Lobato, MS., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 249, Las Cruces, NM 88001 Phone: 505-527-5823 Fax: 505-527-5886 |