Charlotte A Belton, MA,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Pecos, NM
NPI 1720116783 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720116783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3764 (NM)
- Practice address
- N Hwy 63
Pecos Independent Schools
Pecos, NM 87552 - Phone
- (505) 757-4644
- NPI assigned
- Mar 1, 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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3764 | NM | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3764 | NM | Yes |
Addresses
Primary practice location
N Hwy 63
Pecos Independent Schools
Pecos, NM 87552
Mailing address
110 San Salvador LN
Santa Fe, NM 87501-1740
Phone (505) 995-9776
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84852879 | Medicaid | NM |
Other providers in Pecos, NM
- Behavior Analysis Services, Inc.
- Robert Belgrod
- Dina Bowen
- Brenda Caracheo
- Maria G Cervantes
- Steven Collotzi
- Dennis Scott Crawford
All providers in Pecos, 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.