Organization Name: | POSITIVE OUTCOMES, INC. |
NPI Number: | 1770624348 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARA JARAMILLO (CEO AND SLP) |
Mailing Address: | 1115 North California Street Socorro |
State: | NM US |
Postal Code: | 878010642 |
Phone Number: | 5058380800 |
Fax Number: | 5058383999 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 006549 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |