Kristen Griego, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Socorro, NM
NPI 1801439328 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1801439328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- CF6772 (NM)
- Practice address
- 409 N California St
Socorro, NM 87801-4208 - Phone
- (505) 907-1902
- Fax
- (833) 448-2997
- NPI assigned
- Oct 28, 2019
- 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)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CF6772 | NM | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP7046 | ||
| Speech-Language Pathologist | 235Z00000X | CF6772 | NM | Yes |
Addresses
Primary practice location
409 N California St
Socorro, NM 87801-4208
Mailing address
119 Mustang Dr
Socorro, NM 87801-4451
Phone (575) 518-8815
Other practice location 1
107 Francisco De Avando St
Socorro, NM 87801-4671
Phone (575) 838-3112
Other providers in Socorro, NM
- Danielle Isabel Gordon
- John William Gordon
- Oletha Hope Gould
- Mary Elizabeth Green
- Jennifer Marie Gregory
- Valerie Griego
- Richard E Guajaca II
- Victoria E. Gutierrez
- Janet Sue Hancock
- Terry Wayne Hancock
All providers in Socorro, 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 Jun 24, 2024. 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.