| Ms Therese Ann Lopez, MA, CCC-SLP | |
|
3061 Pagosa Meadows Dr Ne, Rio Rancho, NM 87144-0534 | |
| (505) 896-0061 | |
| Not Available |
| Full Name | Ms Therese Ann Lopez |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3061 Pagosa Meadows Dr Ne, Rio Rancho, 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 |
|---|---|---|---|
| 1649483173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3080 (New Mexico) | Primary |
| Provider Name | West Side Speech Academy LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780199158 PECOS PAC ID: 1456772557 Enrollment ID: O20200527002918 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Therese Ann Lopez, MA, CCC-SLP 3061 Pagosa Meadows Dr Ne, Rio Rancho, NM 87144-0534 Ph: (505) 896-0061 | Ms Therese Ann Lopez, MA, CCC-SLP 3061 Pagosa Meadows Dr Ne, Rio Rancho, NM 87144-0534 Ph: (505) 896-0061 |
Bryssa Anne Marie Torres, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4800 Cleveland Heights Rd Ne, Rio Rancho, NM 87144 Phone: 505-896-0667 |
Shannon Carryn Troutman, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Laser Rd Ne, Rio Rancho, NM 87124 Phone: 505-771-2366 |
Alexis K Medina, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Laser Rd Ne, Rio Rancho, NM 87124 Phone: 505-962-1242 |
Jeannette L. Waters, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2148 Sagecrest Loop Ne, Rio Rancho, NM 87144 Phone: 505-463-8195 |
Cynthia Reynoso, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Laser Rd Ne, Rio Rancho, NM 87124 Phone: 505-962-1242 |
Desert Rose Speech Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3091 Ashkirk Loop Se, Rio Rancho, NM 87124 Phone: 505-306-8100 |
Jessica M De Sanctis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Laser Rd Ne, Rio Rancho, NM 87124 Phone: 505-962-1242 |