Grace G Brock in Las Cruces - Speech-language Pathologist
Grace G Brock - NPI 1538296454
Grace G Brock is a Speech-language Pathologist in Las Cruces, New Mexico. Grace G Brock practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Grace G Brock is 1538296454. The last update date is 2007-07-09.
Grace G Brock's current location address is 505 S Main St, Las Cruces, New Mexico. You can contact this provider via phone number 5055275823 and fax number 5055275886. The mailing address for Grace G Brock is 505 S Main St, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace G Brock |
|---|---|
| Address | 505 S Main St, Las Cruces, New Mexico |
| Phone Number | 5055275823 |
| Fax Number | 5055275886 |
| Sole Proprietor | N |
| Credentials | M.S., CCC- |
NPI Number Detail
| NPI Number | 1538296454 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 505 S Main St |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880011206 |
| Phone Number | 5055275823 |
| Fax Number | 5055275886 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2581 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B5444 | NM | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Grace G Brock?
The Grace G Brock has been issued the NPI (National Provider Identifier) 1538296454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Grace G Brock is geographically located?
The Grace G Brock is physically situated at the following location: 505 S Main St, Las Cruces, NM, 880011206.
What is the Grace G Brock's area of specialization and corresponding taxonomy classification?
The Grace G Brock's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
When was the Grace G Brock's 1538296454 issued?
The Grace G Brock's 1538296454 was issued on 2007-02-27.
As of what date were the details related to Grace G Brock most recently updated or revised?
The information pertaining to Grace G Brock, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.