Doctor Name: | STACEY M DELK |
NPI Number: | 1437300688 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4638 |
Business Practice Address: | 301 Perkins Dr Ste B Las Cruces, NM - 880053248 |
Business Phone Number: | 5755266682 |
Business Fax Number: | |
Mailing Address: | 301 Perkins Dr Ste B, LAS CRUCES |
State: | NM |
Postal Code: | 880053248 |
Phone Number: | 5755266682 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 09/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4638 |
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 |