Karla Bejos

Individual provider Active NPI Speech-Language Pathologist · Bernalillo, NM

NPI 1861644486 · NPPES record last updated Feb 10, 2012

Key facts

NPI
1861644486
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4568 (NM)
Practice address
224 N Camino del Pueblo
Bernalillo, NM 87004-6146
Phone
(505) 404-5716
NPI assigned
Oct 14, 2008
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

State licenses

LicenseStateTypeSpecialty
4568NMMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4568 NM Yes

Addresses

Primary practice location

224 N Camino del Pueblo
Bernalillo, NM 87004-6146

Mailing address

224 N . Camino del Pueblo
Bernalillo, NM 87004-6013
Phone (505) 404-5716

Other providers in Bernalillo, NM

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

Sources for this page

Verify at the official NPI Registry.