Healthcare Provider Details
I. General information
NPI: 1285527093
Provider Name (Legal Business Name): DESERT SKY SPEECH THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/30/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12216 AMSTATER CIR
EL PASO TX
79936-0275
US
IV. Provider business mailing address
12216 AMSTATER CIR
EL PASO TX
79936-0275
US
V. Phone/Fax
- Phone: 915-261-3135
- Fax:
- Phone: 915-261-3135
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2355S0801X |
| Taxonomy | Speech-Language Assistant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELISSA
SOTO
Title or Position: FOUNDER/OWNER
Credential: M.S., CCC-SLP
Phone: 915-261-3135