Valentine, Michael L

Valentine, Michael L is an individual health care provider with primary practice located at 1390 E 20Th St , Farmington NM 87401-9037. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Valentine, Michael L can be contacted via phone (505) 599-8535.

Contact Information

Primary practice address
1390 E 20Th St Farmington NM 87401-9037
Fax: (505) 599-8536
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3699 New Mexico

Profile Details

NPI number 1093887713
LBN Legal business name Valentine, Michael L
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 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 1093887713 NPPES
New Mexico MEDICAID 61800856

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