Yvonne Contreras, M.A.

Individual provider Active NPI Speech-Language Pathologist · Deming, NM

NPI 1104029412 · NPPES record last updated May 3, 2013

Key facts

NPI
1104029412
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
5190 (NM)
Practice address
5150 Aspen Rd SW
Deming, NM 88030-8070
Phone
(575) 537-4010
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5190NMMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5190 NM Yes

Addresses

Primary practice location

5150 Aspen Rd SW
Deming, NM 88030-8070

Mailing address

5150 Aspen Rd SW
Deming, NM 88030-8070
Phone (915) 204-4113

Other providers in Deming, NM

All providers in Deming, NM · Speech-Language Pathologist in New Mexico

Sources for this page

Verify at the official NPI Registry.