Doctor Name: | SOUNDRA KAY RICHARDSON |
NPI Number: | 1427237114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M HS CCC-SLP |
License Number: | 2869 |
Business Practice Address: | 801 W Maple St Farmington, NM - 874015630 |
Business Phone Number: | 5053252511 |
Business Fax Number: | |
Mailing Address: | 801 W Maple St, FARMINGTON |
State: | NM |
Postal Code: | 874015630 |
Phone Number: | 5053252511 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2007 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2869 |
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 |