Crystal Hope Doerr, M.S. CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Farmington, NM

NPI 1508045311 · NPPES record last updated Oct 29, 2007

Key facts

NPI
1508045311
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
C-4127 (NM)
Practice address
801 W Maple St
Farmington, NM 87401-5630
Phone
(505) 325-2511
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

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 Science

State licenses

LicenseStateTypeSpecialty
C-4127NMMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X C-4127 NM Yes

Addresses

Primary practice location

801 W Maple St
Farmington, NM 87401-5630

Mailing address

801 W Maple St
Farmington, NM 87401-5630
Phone (505) 325-2511

Other providers in Farmington, NM

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

Sources for this page

Verify at the official NPI Registry.