Michele Marie Busch
Speech-Language Pathologist, in Tierra Amarilla, NM. Individual provider (NPI-1).
NPI number1710040407
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710040407
- Entity type
- Individual (NPI-1)
- Name
- Michele Marie Busch
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 3472 | NM | Yes |
Practice location
State Road 531Tierra Amarilla, NM 87575-9701
Phone 505-588-7285
Mailing address
Po Box 496Chama, NM 87520-0496
Phone 505-756-1023
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