Organization Name: | REGIONAL EDUCATION CENTER |
NPI Number: | 1568760445 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATTI HARRELSON (DIRECTOR) |
Mailing Address: | 1500 S Avenue K Station #9 Portales |
State: | NM US |
Postal Code: | 881307400 |
Phone Number: | 5755624455 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2011 |
NPI Last Update Date: | 03/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1826 |
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 |