Tonya Shondell Rush, MS CF SLP
Individual provider Active NPI Speech-Language Pathologist · Elida, NM
NPI 1518030303 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1518030303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- C4003 (NM)
- Practice address
- 103 North Church Street
Elida Municipal School
Elida, NM 88116 - Phone
- (505) 274-6211
- Fax
- (505) 274-6213
- NPI assigned
- Nov 17, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C4003 | NM | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | C4003 | NM | Yes |
Addresses
Primary practice location
103 North Church Street
Elida Municipal School
Elida, NM 88116
Mailing address
5545 State Highway 209
McAlister, NM 88427
Phone (505) 458-6611
Other providers in Elida, NM
All providers in Elida, 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 Jul 8, 2007. 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.