| Enmu Speech And Hearing Rehabilitation Outreach Cent | |
|
1500 S Avenue K # 3, Portales, NM 88130-7401 | |
| (575) 562-2156 | |
| (575) 562-2380 |
| Full Name | Enmu Speech And Hearing Rehabilitation Outreach Cent |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1500 S Avenue K # 3, Portales, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356115273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Erin Standefer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114379229 PECOS PAC ID: 5496190092 Enrollment ID: I20240305000904 |
| Provider Name | Suzanne House Swift |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215717236 PECOS PAC ID: 5395180905 Enrollment ID: I20240305001079 |
| Provider Name | Rebecca Kaci Dewbre |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831616705 PECOS PAC ID: 8123463742 Enrollment ID: I20240305001397 |
| Provider Name | Seana Evelyn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659495943 PECOS PAC ID: 3072958602 Enrollment ID: I20240305001655 |
| Provider Name | Priyanka Shailat |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154840288 PECOS PAC ID: 8325483969 Enrollment ID: I20240305002107 |
| Provider Name | Lacy Plummer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134510712 PECOS PAC ID: 8527403179 Enrollment ID: I20240305002410 |
| Provider Name | Nicole L Whitehouse |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790056687 PECOS PAC ID: 2163868639 Enrollment ID: I20240307001155 |
| Mailing Address | Practice Location Address |
|---|---|
| Enmu Speech And Hearing Rehabilitation Outreach Cent 1500 S Avenue K # 3, Portales, NM 88130-7401 Ph: (575) 562-2156 | Enmu Speech And Hearing Rehabilitation Outreach Cent 1500 S Avenue K # 3, Portales, NM 88130-7401 Ph: (575) 562-2156 |
Ciara Foust, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 S Abilene Ave, Portales, NM 88130 Phone: 575-359-3707 | |
Ms. Melissa Diane Pacheco, M.S., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 S Abilene Ave, Portales, NM 88130 Phone: 505-359-3707 | |
James William Lovell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 S Avenue K, Portales, NM 88130 Phone: 575-562-4232 | |
Erin Standefer, MSCCCSLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1225 Libra Dr, Portales, NM 88130 Phone: 575-309-3434 | |
Mrs. Tiffany Marie Huizenga, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 S Abilene, Portales, NM 88130 Phone: 505-359-3707 Fax: 505-356-6682 | |
Taylor Rae Crabtree, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 S Ave K, Station 3, Shroc, Portales, NM 88130 Phone: 575-562-2160 | |
Ms. Deanna Mari Cordova, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1517 S Main Ave, Portales, NM 88130 Phone: 575-749-2711 |