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CENTRAL REGION EDUCATIONAL COOPERATIVE NPI 1457693574


NPI Information

NPI: 1457693574
Provider Name: CENTRAL REGION EDUCATIONAL COOPERATIVE
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
5323 MENAUL BLVD. NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 889-3412
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CENTRAL REGION EDUCATIONAL COOPERATIVE is a speech language pathologist in Albuquerque, 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. CENTRAL REGION EDUCATIONAL COOPERATIVE NPI is 1457693574. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5323 MENAUL BLVD. NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 889-3412
Fax: (505) 889-3422

The provider's authorized official is Vicky Fuessel .
The authorized official title is Slp Supervisor and has the following contact phone number (505) 889-3412.

The enumeration date for this NPI number is 3/27/2013 and was last updated on 3/27/2013.


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
1235Z00000XSpeech-Language Pathologist5290NEW MEXICOYes

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
11194881565MEDICAIDNEW 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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