Zia Speech and Swallow LLC
NPI #1881468130 in Portales, New Mexico
Provider Information
- NPI Number
- 1881468130
- Entity Type
- Organization
- Organization Name
- Zia Speech and Swallow LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 8, 2023
- Last Updated
- Nov 8, 2023
Practice Location
- Address
- 1023 W 15TH ST
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130-6680
- Phone
- (208) 539-8711
Authorized Official
- Name
- FIONA VERONICA GOODELL, MS, CCC-SLP
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (386) 481-0590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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