Doctor Name: | TANYA A ACKERMAN |
NPI Number: | 1124142096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3076 |
Business Practice Address: | 501 W Florida St Deming, NM - 880306302 |
Business Phone Number: | 5055460427 |
Business Fax Number: | |
Mailing Address: | 910 Calle Del Encanto, LAS CRUCES |
State: | NM |
Postal Code: | 880053045 |
Phone Number: | 9154741261 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3076 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |