Stotz, Deeann

Stotz, Deeann is an individual health care provider with primary practice located at 310 La Jara St , Bloomfield NM 87413-6626. 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. Stotz, Deeann can be contacted via phone (505) 634-3868.

Contact Information

Primary practice address
310 La Jara St Bloomfield NM 87413-6626
Fax: (505) 634-3856
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1761 New Mexico

Profile Details

NPI number 1972712685
LBN Legal business name Stotz, Deeann
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972712685 NPPES
New Mexico MEDICAID P5847

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