| Nice Speech Lady Llc | |
|
409 N California St, Socorro, NM 87801-4208 | |
| (505) 907-1902 | |
| (833) 448-2997 |
| Full Name | Nice Speech Lady Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 409 N California St, Socorro, 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 |
|---|---|---|---|
| 1134714348 | NPI | - | NPPES |
| 52071804 | Medicaid | NM | |
| 1184855181 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Wilson Nice |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205135753 PECOS PAC ID: 8628473105 Enrollment ID: I20210820002535 |
| Provider Name | Beverly Overton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184855181 PECOS PAC ID: 3870959505 Enrollment ID: I20240329001465 |
| Provider Name | Kristen Griego |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801439328 PECOS PAC ID: 5698210219 Enrollment ID: I20240726000620 |
| Provider Name | Mary Elizabeth Bardin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972035525 PECOS PAC ID: 4385050269 Enrollment ID: I20240930000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Nice Speech Lady Llc 409 N California St, Socorro, NM 87801-4208 Ph: (505) 907-1902 | Nice Speech Lady Llc 409 N California St, Socorro, NM 87801-4208 Ph: (505) 907-1902 |
Ms. Tara K Jaramillo, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1115 N California St, Socorro, NM 87801 Phone: 505-838-0800 Fax: 505-838-3999 | |
Lindsey Benjamin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1115 N California St, Socorro, NM 87801 Phone: 575-838-0800 | |
Mrs. Wilson Nice, M.A., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 409 N California St, Socorro, NM 87801 Phone: 505-907-1902 Fax: 833-448-2997 | |
Charlotte Ruth Wansa, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 Franklin St, Socorro, NM 87801 Phone: 575-835-0300 | |
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 |