Doctor Name: | MISS JULIET MARIE MORENO |
NPI Number: | 1881724599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCCSLP |
License Number: | 3376 |
Business Practice Address: | 900 Central Bayard, NM - 88023 |
Business Phone Number: | 5055374000 |
Business Fax Number: | 5055373921 |
Mailing Address: | 1855 Apache Hills Dr Nw, DEMING |
State: | NM |
Postal Code: | 88030 |
Phone Number: | 5055444024 |
Fax Number: | 5055373921 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3376 |
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 |