Doctor Name: | MRS. JEANA SPINDLE |
NPI Number: | 1366630121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 26 |
Business Practice Address: | 27 Camino Estribor Edgewood, NM - 87015 |
Business Phone Number: | 5052388811 |
Business Fax Number: | 5052861207 |
Mailing Address: | Po Box 292, EDGEWOOD |
State: | NM |
Postal Code: | 870150292 |
Phone Number: | 5052388811 |
Fax Number: | 5052861207 |
NPI Enumeration Date: | 10/05/2007 |
NPI Last Update Date: | 10/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 26 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
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 |