Cody-Maldegen, Connie Jean

Cody-Maldegen, Connie Jean is an individual health care provider with primary practice located at 1300 Camino Sierra Vis 129, Santa Fe NM 87505-1007. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cody-Maldegen, Connie Jean can be contacted via phone (505) 467-2504.

Contact Information

Primary practice address
1300 Camino Sierra Vis 129 Santa Fe NM 87505-1007
Phone: (505) 467-2504
Fax: (505) 467-2646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1382 New Mexico

Profile Details

NPI number 1356472153
LBN Legal business name Cody-Maldegen, Connie Jean
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 18 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 1356472153 NPPES
New Mexico MEDICAID J4264

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