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BOSQUE THERAPY CENTER LLC NPI 1396354981


NPI Information

NPI: 1396354981
Provider Name: BOSQUE THERAPY CENTER, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
980 BOSQUE FARMS BLVD
BOSQUE FARMS, NM
ZIP 87068
Phone: (505) 554-0052
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BOSQUE THERAPY CENTER, LLC is a speech language pathologist in Bosque Farms, NM. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. BOSQUE THERAPY CENTER, LLC NPI is 1396354981. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

980 BOSQUE FARMS BLVD
BOSQUE FARMS, NM
ZIP 87068-652
Phone: (505) 554-0052
Fax: (833) 303-1343

The provider's authorized official is Emma C Boyd .
The authorized official title is Speech Language Pathologist/owner and has the following contact phone number (505) 554-0052.

The enumeration date for this NPI number is 7/29/2020 and was last updated on 10/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2225XP0200XOccupational TherapistPediatricsNo
3235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
148736309MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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