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Contact Information

JANET V BROOK, MS, CCC-SLP
1565 BOSQUECITO ROAD
SOCORRO, NM87801
 Phone: 505-835-2118
 Fax: 505-835-2118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JANET V BROOK · (Female)

NPI Number 1205842739
Status Active
Credentials MS, CCC-SLP
Entity Individual
Enumeration date 08/01/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 410
  • NM Medicaid 000D1615
  • NM Medicaid 78902525
  • NM Other 01025724 ASHA CERTIFIED
  • NM Other 02083282006 CRS ID NUMBER
  • NM Other 410 SLP BOARD LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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