Doctor Name: | MRS. JENNIFER DIANE ENOTE BECKER |
NPI Number: | 1184751653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CCC-SLP |
License Number: | 000G6294 |
Business Practice Address: | 22 Salt Lake Road Dowa Yalanne Elementary Zuni, NM - 87327 |
Business Phone Number: | 5057824441 |
Business Fax Number: | 5057825879 |
Mailing Address: | Po Box 1691, ZUNI |
State: | NM |
Postal Code: | 873271691 |
Phone Number: | 5057824294 |
Fax Number: | 5057825879 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 000G6294 |
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 |