Marie Antonette Eichwald, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Bernalillo, NM
NPI 1598898058 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1598898058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1997 (NM)
- Practice address
- 481 Plaza Vinedos
Bernalillo, NM 87004-6610 - Phone
- (505) 771-0971
- Fax
- (505) 771-0971
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 1997 | NM | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1997 | NM | Yes |
Addresses
Primary practice location
481 Plaza Vinedos
Bernalillo, NM 87004-6610
Mailing address
481 Plaza Vinedos
Bernalillo, NM 87004-6610
Phone (505) 771-0971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D2185 | Medicaid | NM |
Other names
- Mrs. M. Antonette Salazar Eichwald
Other providers in Bernalillo, NM
- Tanya C Deets
- Gabriel Diaz
- Susan E Duncan
- Elisabeth Durbano
- Cathleen Durell
- El Pueblo Health Services, Inc
- El Pueblo Health Services, Inc
- El Pueblo Healthcare
- Blanca Elia
- Katie Elson-Romero
All providers in Bernalillo, 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 9, 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.