Sondra Aucutt, MS, CCC-SLP

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

NPI 1538294491 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1538294491
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3894 (NM)
Practice address
810 E 21St St Ste A6
Clovis, NM 88101-4435
Phone
(505) 935-6322
NPI assigned
Feb 22, 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
3894NMMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3894 NM Yes

Addresses

Primary practice location

810 E 21St St Ste A6
Clovis, NM 88101-4435

Mailing address

1317 Colonial Pkwy
Clovis, NM 88101-3011

Other providers in Clovis, NM

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

Sources for this page

Verify at the official NPI Registry.