Jill Saberhagen-Schorr, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Moriarty, NM
NPI 1255662268 · NPPES record last updated Jan 15, 2010
Key facts
- NPI
- 1255662268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2066 (NM)
- Practice address
- 200 Center St
Moriarty, NM 87035-2000 - Phone
- (505) 832-5817
- NPI assigned
- Jan 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 2066 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moriarty Municipal School | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2066 | NM | Yes |
Addresses
Primary practice location
200 Center St
Moriarty, NM 87035-2000
Mailing address
PO Box 2000
Moriarty, NM 87035-2000
Phone (505) 832-5817
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2066 | Other | NM | STATE LICENSE |
| 252903 | Other | NM | PED LICENSE |
Other providers in Moriarty, NM
- Positive Change Counseling, LLC
- Rachael P Rael
- Julene E Ricks
- Erica Rightsell
- Stephanie Marie Riordan
- Laura E Salem
- Julie Dianne Sanders
- Sandia Crest Mental Health LLC
- Rebecca Lynn Scheib
- Vashti Jean Schweedler
All providers in Moriarty, 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 Jan 15, 2010. 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.