Powell, Mary Anne

Powell, Mary Anne is an sole proprietor health care provider with primary practice located at 2400 Legacy Ct , Santa Fe NM 87507-4819. 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. Powell, Mary Anne can be contacted via phone (505) 501-8623.

Contact Information

Primary practice address
2400 Legacy Ct Santa Fe NM 87507-4819
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3634 New Mexico

Profile Details

NPI number 1821127515
LBN Legal business name Powell, Mary Anne
Credentials M. S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 5th, 2023 - about 2 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 1821127515 NPPES
New Mexico MEDICAID 000L6741

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