Yucca Therapy Services
Organization Active NPI Clinical Social Worker · Mesilla Park, NM
NPI 1275924839 · NPPES record last updated Feb 17, 2015
Key facts
- NPI
- 1275924839
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I3577 (NM)
- Legal business name
- YUCCA THERAPY SERVICES
- Practice address
- 211 Blue Sky LN
Mesilla Park, NM 88047-9751 - Phone
- (575) 496-0899
- Fax
- (575) 377-8373
- NPI assigned
- Feb 17, 2015
- Organization subpart
- No
Authorized official
- Name
- Ms. Maria Trujillo, M.A., CCC-SLP
- Title
- Owner, Speech-Language Pathologist
- Phone
- (575) 496-0899
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | I3577 | NM | Yes |
| Speech-Language Pathologist |
235Z00000X | 1769 | NM |
Addresses
Primary practice location
211 Blue Sky LN
Mesilla Park, NM 88047-9751
Mailing address
211 Blue Sky LN
Mesilla Park, NM 88047-9751
Phone (575) 496-0899
Other providers in Mesilla Park, NM
All providers in Mesilla Park, NM · Clinical Social Worker 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 Feb 17, 2015. 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.