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Audrey Baeza, BS,SLP-ASSISTANT
Student in an Organized Health Care Education/Training Program in Portales, New Mexico
NPI 1265800213

Audrey Baeza is a Student in an Organized Health Care Education/Training Program based in Portales, NM. Audrey Baeza practices in Portales, NM and has the professional credentials of BS,SLP-ASSISTANT. The NPI Number for Audrey Baeza is 1265800213 and holds a License No. 36497 (New Mexico).

The current practice location address for Audrey Baeza is 1500 S Ave K, Portales, NM and can be reached out via phone at 915-539-0053.

Location: 1500 S Ave K, Portales, NM, 88130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265800213
Provider Name
Audrey Baeza
Credential
BS,SLP-ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
1500 S Ave K, Portales, NM, 88130
Phone Number
915-539-0053
Fax Number
Provider Enumeration Date
09/08/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36497 01 TX STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
institution
Provider Business Practice Location Address Details
Address
1500 S Ave K
City
Portales
State
New Mexico
Zip
88130
Phone Number
915-539-0053
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Ave K
City
Portales
State
New Mexico
Zip
88130
Phone Number
915-539-0053
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
36497 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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