Doctor Name: | MRS. TAMARA SHAWN WHEELER |
NPI Number: | 1528181922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SLP 5207 |
Business Practice Address: | 500 Laser Rd Ne Rio Rancho, NM - 871244517 |
Business Phone Number: | 5058927735 |
Business Fax Number: | |
Mailing Address: | 823 Sagebrush Dr, CORRALES |
State: | NM |
Postal Code: | 870488596 |
Phone Number: | 6239869129 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 10/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP 5207 |
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 |