Angela Brim, ASL
Individual provider Active NPI Speech-Language Assistant · Roswell, NM
NPI 1174355754 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1174355754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- SAH-2024-0275 (NM)
- Practice address
- 400 1St St.
Roswell, NM 88201 - Phone
- (575) 734-5434
- NPI assigned
- Aug 14, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SAH-2024-0275 | NM | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SAH-2024-0275 | NM | Yes |
Addresses
Primary practice location
400 1St St.
Roswell, NM 88201
Mailing address
PO Box 1494
Roswell, NM 88202-1494
Other providers in Roswell, NM
- Megan Leigh Brandt
- Erin Olivia Brannan
- Carisa Breakfield
- Sharon K Breit
- Michaela Brewer
- Lolita Brinning
- Valerie Brisco
- Briteview Dental LLC
- Keegan Brooks
- David M Brown
All providers in Roswell, NM · Speech-Language Assistant 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 Aug 14, 2024. 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.