Eastern New Mexico University
Speech-Language Pathologist · Portales, NM
At a glance
1500 S Avenue K # 3, Portales, NM 88130-7401
NPPES record updated Jul 13, 2026. Public records can lag behind changes at a practice.
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Practice location
1500 S Avenue K # 3Portales, NM 88130-7401
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Speech-Language Pathologist
- Taxonomy code
- 235Z00000X
- Enumeration date
- Nov 10, 2023
- Record updated
- Jul 13, 2026
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Speech-Language Pathologist
235Z00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1500 S Avenue K # 3Portales, NM 88130-7401
- Phone
- (575) 562-2156
- Fax
- (575) 562-2380
Mailing address
1500 S AVENUE K # 3PORTALES, NM 881307401
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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