Ethier, Laurel A.
Ethier, Laurel A. is an individual health care provider with primary practice located at 450 Southern Blvd Se , Rio Rancho NM 87124-3206. 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. Ethier, Laurel A. can be contacted via phone (505) 994-3305.Contact Information
Primary practice address
450 Southern Blvd Se
Rio Rancho NM 87124-3206
Phone: (505) 994-3305
Fax: (505) 994-3316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 839 | New Mexico |
Profile Details
| NPI number | 1760519938 |
|---|---|
| LBN Legal business name | Ethier, Laurel A. |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 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 | 1760519938 | NPPES |
| New Mexico | MEDICAID | 000Z2857 |
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