Anne Marie Walton, MA CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Raton, NM
NPI 1104832237 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104832237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2989 (NM)
- Practice address
- 101 North Second St
Raton, NM 87740 - Phone
- (505) 445-7090
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2989 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Regional Education Coop | Past | Accepting new patients | |
| High Plains Regional Educational Coop | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2989 | NM | Yes |
Addresses
Primary practice location
101 North Second St
Raton, NM 87740
Mailing address
PO Box 1764
Raton, NM 87740
Phone (505) 447-0399
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46157549 | Medicaid | NM |
Other names
- Ms. Anne Marie Brabec
Other providers in Raton, NM
- Dalena Visarriagas
- Hector R Vrdin Jr.
- Kathleen A Vukonich
- Zachary Wainwright
- Mark Elliott Walden
- Christina J Warder
- Bruce Wayne Washburn
- Crystal Dawn Washburn
- Heather Welborn
- Well Care Transport LLC.
All providers in Raton, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.