Tandi Raquelle Foutz, M.S. CCC-SLP
NPI #1902093354 in Farmington, New Mexico
Provider Information
- NPI Number
- 1902093354
- Entity Type
- Individual
- Name
- Tandi Raquelle Foutz, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Oct 1, 2007
- Last Updated
- Aug 18, 2009
Practice Location
- Address
- 1612 HUTTON AVE
- Address 2
- ANIMAS ELEMENTARY SCHOOL
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87402-7614
- Phone
- (505) 599-8601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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