Waters, Jeannette L.
Waters, Jeannette L. is an individual health care provider with primary practice located at 2148 Sagecrest Loop Ne , Rio Rancho NM 87144-2856. 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. Waters, Jeannette L. can be contacted via phone (505) 463-8195.Contact Information
Primary practice address
2148 Sagecrest Loop Ne
Rio Rancho NM 87144-2856
Phone: (505) 463-8195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 289 | New Mexico |
Profile Details
| NPI number | 1073863908 |
|---|---|
| LBN Legal business name | Waters, Jeannette L. |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2012 |
| Last updated | Sep 18th, 2012 - about 14 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 | 1073863908 | NPPES |
| New Mexico | Other | 289 | NEW MEXICO STATE LICENSURE FOR SPEECH PATHOLOGY |
| New Mexico | Other | 01030680 | NEW MEXICO STATE LICENSURE FOR SPEECH PATHOLOGY |
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