Mary Elizabeth Wall

Speech-Language Pathologist · Taos, NM

Individual Active NPI

NPI number 1780826636

Practice location

7 Coyote Court
Box 2290 RDT, NM 87557
Taos, NM 87571
Phone
(575) 758-5763

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NPI record

NPI
1780826636
Entity type
Individual (Type 1)
Enumeration date
March 24, 2009
Last updated
March 24, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 1057 NM

Mailing address

PO Box 2290
Ranchos De Taos, NM 87557-2290
Phone
(575) 758-5763

About Mary Wall

Mary Elizabeth Wall is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 7 Coyote Court, Box 2290 RDT, NM 87557, Taos, NM 87571. The NPI number 1780826636 was assigned on March 24, 2009 and the record was last updated on March 24, 2009.

Mary Wall lists a license in the registry: #1057 (NM) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Elizabeth Wall?

The NPI number is 1780826636.

What is the phone number of Mary Wall?

The phone number listed for the practice location is (575) 758-5763.

Where is Mary Wall located?

7 Coyote Court, Box 2290 RDT, NM 87557, Taos, NM 87571.

What is the taxonomy code for Mary Wall?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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