Conkling, Dianne Louise
Conkling, Dianne Louise is an individual health care provider with primary practice located at 1000 E Aztec Ave , Gallup NM 87301-5509. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Conkling, Dianne Louise can be contacted via phone (505) 721-1845.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4076 | New Mexico |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 12680 | Oregon |
Profile Details
| NPI number | 1841417995 |
|---|---|
| LBN Legal business name | Conkling, Dianne Louise |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841417995 | NPPES |
| New Mexico | MEDICAID | 79059023 |
Popular Providers
-
Eoff, Donna P.
1000 E Aztec Ave , Gallup NM 87301-5509 -
Bell, Pamela Lee
700 S Boardman Ave , Gallup NM 87301-4707 -
Sanchez, Mary Ellen
1000 E Aztec Ave , Gallup NM 87301-5509 -
Glazier, Marijane
1000 E Aztec Ave , Gallup NM 87301-5509 -
Curnett, Jeffrey
1000 E Aztec Ave , Gallup NM 87301-5509 -
Bell- Ivanovich, Catherine
1000 East Aztec Avenue , Gallup NM 87301 -
Marotta, Beth Karol
700 S Boardman Ave , Gallup NM 87301-4707 -
Richards, Sharol Lynn
1000 E Aztec Ave , Gallup NM 87301-5509