NPIMap

Tanya R Friend, SLP

Individual provider Active NPI Speech-Language Pathologist · Los Ranchos, NM

NPI 1508002791 · NPPES record last updated Feb 10, 2021

Key facts

NPI
1508002791
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4678 (NM)
Practice address
7103 4TH St NW Ste F
Los Ranchos, NM 87107-6675
Phone
(505) 821-1638
Fax
(505) 821-5107
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

  • Smalltalk LLC Speech-Language Pathologist · Los Ranchos, NM · NPI 1548525710
    NPD SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4678NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Smalltalk LLC Speech-Language Pathologist Current
since Feb 14, 2021		 Accepting new patients

Locations

7103 4th St NW
Ste F
Los Ranchos, NM 87107
Phone (505) 821-1638

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4678 NM Yes

Addresses

Primary practice location

7103 4TH St NW Ste F
Los Ranchos, NM 87107-6675

Mailing address

7103 4TH St NW Ste F
Los Ranchos, NM 87107-6675
Phone (505) 821-1638

Other practice location 1

5924 Anaheim Ave NE
Suite C
Albuquerque, NM 87113-1878
Phone (505) 385-8422

Other providers in Los Ranchos, NM

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

Sources for this page

Verify at the official NPI Registry.