Individual provider · Type 1 NPI

Audrey Baeza, BS, SLP-ASSISTANT

Student in an Organized Health Care Education/Training Program · Portales, NM

NPI number 1265800213 Active

Practice location

1500 S Ave K, Station 3, Shroc
Portales, NM 88130

Call (915) 539-0053 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant 2355S0801X36497 (TX)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265800213

Audrey Baeza, BS, SLP-ASSISTANT's National Provider Identifier is 1265800213, issued on Sep 8, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portales, NM. The record was last updated on Nov 3, 2017.