| Ms Tara K Jaramillo, SLP | |
|
1115 N California St, Socorro, NM 87801-4265 | |
| (575) 838-0800 | |
| (575) 838-3999 |
| Full Name | Ms Tara K Jaramillo |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1115 N California St, Socorro, 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 |
|---|---|---|---|
| 1063553360 | NPI | - | NPPES |
| 88722520 | Other | NM | MEDICAID PCO |
| 00P3051 | Other | NM | MEDICAID-ASC |
| D4005 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 1487 (New Mexico) | Primary |
| Provider Name | Positive Outcomes Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770624348 PECOS PAC ID: 1052208212 Enrollment ID: O20040302000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tara K Jaramillo, SLP Po Box 642, Socorro, NM 87801-0642 Ph: (575) 838-0800 | Ms Tara K Jaramillo, SLP 1115 N California St, Socorro, NM 87801-4265 Ph: (575) 838-0800 |
Lindsey Benjamin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1115 N California St, Socorro, NM 87801 Phone: 575-838-0800 |
Janet Vallese Brook, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1565 Bosquecito Road, Socorro, NM 87801 Phone: 505-835-2118 Fax: 505-835-2118 |
Ms. Linda Snell Sanchez, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1115 N. California St, Socorro, NM 87801 Phone: 505-838-0800 Fax: 505-838-3999 |
Alexis Henderson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 511 El Camino Real St, Socorro, NM 87801 Phone: 575-838-3112 |
Ms. Mary Mochan, O.T. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1115 N. California St., Socorro, NM 87801 Phone: 505-838-0800 Fax: 505-838-3999 |
Deborah Card, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1202 Highway 60 West, Socorro General Hospital, Socorro, NM 87801 Phone: 575-835-1140 |
Karin Williams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1115 N. California St, Socorro, NM 87801 Phone: 575-838-0800 Fax: 575-838-3999 |