Baeza, Audrey

Baeza, Audrey is an individual health care provider with primary practice located at 1500 S Ave K Station 3, Shroc, Portales NM 88130. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Baeza, Audrey can be contacted via phone (915) 539-0053.

Contact Information

Primary practice address
1500 S Ave K Station 3, Shroc Portales NM 88130
Phone: (915) 539-0053
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 36497 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1265800213
LBN Legal business name Baeza, Audrey
Credentials BS, SLP-ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2015
Last updated Nov 3rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265800213 NPPES
Texas Other 36497 STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY

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