Andrea Frost, M.A., CCC

Individual provider Active NPI Speech-Language Pathologist · El Prado, NM

NPI 1801977145 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1801977145
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
235Z00000X (NM)
Practice address
HC 74 Box 20512
El Prado, NM 87529-9505
Phone
(505) 758-4308
NPI assigned
Oct 17, 2006
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 Arts

State licenses

LicenseStateTypeSpecialty
235Z00000XNMMDSpeech-Language Pathologist

Specialties & licenses

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

Addresses

Primary practice location

HC 74 Box 20512
El Prado, NM 87529-9505

Mailing address

HC 74 Box 20512
El Prado, NM 87529-9505
Phone (505) 758-4308

Other providers in El Prado, NM

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

Sources for this page

Verify at the official NPI Registry.