Organization · NPI-2

"therapy Is Fun", INC.

Speech-Language Pathologist, · Los Lunas, NM

NPI number1447518428
StatusActive
Last updated in NPPESApr 27, 2012

Details

NPI
1447518428
Entity type
Organization (NPI-2)
Legal business name
"therapy Is Fun", INC.
Organization subpart
No
Enumeration date
Apr 27, 2012
Last updated
Apr 27, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,3285NMYes

Practice location

13 Dos Locos
Los Lunas, NM 87031-5014

Phone 505-620-4129 · Fax 505-216-0897

Mailing address

13 Dos Locos
Los Lunas, NM 87031-5014

Phone 505-620-4129 · Fax 505-216-0897

Authorized official

Cindy A. Chacon
President
5056204129

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