Christina Delao Breeden, M.A.,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Deming, NM
NPI 1598897019 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598897019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3233 (NM)
- Practice address
- 1001 S Diamond Ave
Deming, NM 88030-4710 - Phone
- (505) 546-8841
- NPI assigned
- Mar 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3233 | NM | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deming Public Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3233 | NM | Yes |
Addresses
Primary practice location
1001 S Diamond Ave
Deming, NM 88030-4710
Mailing address
3932 Saddle Fork CT
Las Cruces, NM 88012-6068
Phone (505) 373-9270
Other providers in Deming, NM
- Blue Skies Primary Care PC
- Richard S Bohnstedt
- Jodie Lynn Bookout
- Thomas Martin Boyle
- David Eaton Bragg
- Lauren Frances Brinch
- Kathleen Ann Brown
- Summer Bunting
- Elizabeth A Burr
- Erin Elizabeth Busby
All providers in Deming, 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.