Deanna Mari Cordova, MS CCC-SLP
Speech-Language Pathologist, in Portales, NM. Individual provider (NPI-1).
NPI number1164035705
StatusActive
Last updated in NPPESAug 24, 2020
Details
- NPI
- 1164035705
- Entity type
- Individual (NPI-1)
- Name
- Ms. Deanna Mari Cordova
- Credential
- MS CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2020
- Certification date
- Aug 24, 2020
- Last updated
- Aug 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP2972 | NM | Yes |
Practice location
1517 S Main AvePortales, NM 88130-6928
Phone 575-749-2711
Mailing address
1517 S Main AvePortales, NM 88130-6928
Phone 575-749-2711
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Other Speech-Language Pathologist providers in Portales, NM
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- Morgan BorupNPI 1871011783
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- Rebecca Kaci DewbreNPI 1831616705
- Hope DouglasNPI 1700303260
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- Eastern New Mexico UniversityNPI 1356115273
All 45 Speech-Language Pathologist providers in Portales · All 423 providers in Portales
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