Ivone Andrade, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Clovis, NM
NPI 1972094076 · NPPES record last updated May 24, 2018
Key facts
- NPI
- 1972094076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP6484 (NM)
- Practice address
- 2420 Ashford Dr
Clovis, NM 88101-4470 - Phone
- (575) 935-1177
- NPI assigned
- May 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| SLP6484 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Therapies, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP6484 | NM | Yes |
Addresses
Primary practice location
2420 Ashford Dr
Clovis, NM 88101-4470
Mailing address
2420 Ashford Dr
Clovis, NM 88101-4470
Other providers in Clovis, NM
- American Arthritis & Rheumatology Associates - NM LLC
- Basil A Anaele
- Charlene Anaele
- Ronda Renee Anaya
- Sarah Elizabeth Anderson
- Kynadie Andrews
- Kristian Cheyenne Antillon
- Adora Anudu
- Solitaire Apodaca
- Apple Chiropractic Center Inc
All providers in Clovis, 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 May 24, 2018. 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.