Doctor Name: | MRS. MARY ANNE POWELL |
NPI Number: | 1821127515 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. S., CCC-SLP |
License Number: | 3634 |
Business Practice Address: | 2 Avenida Torreon Santa Fe, NM - 875088852 |
Business Phone Number: | 5054674907 |
Business Fax Number: | |
Mailing Address: | 2269 Calle Cacique, SANTA FE |
State: | NM |
Postal Code: | 875054909 |
Phone Number: | 5056903065 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3634 |
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 |