MEDICARE: 'THERAPY IS FUN', INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3285	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447518428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	'THERAPY IS FUN', INC.

Provider Business Mailing Address
First Line	:	13 DOS LOCOS
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-5014
Country	:	US
Telephone Number	:	505-620-4129
Fax Number	:	505-216-0897

Provider Business Practice Location Address
First Line	:	13 DOS LOCOS
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-5014
Country	:	US
Telephone Number	:	505-620-4129
Fax Number	:	505-216-0897

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CINDY A. CHACON
Credential	:	M.A.,CCC-SLP
Telephone Number	:	505-620-4129

Provider Enumeration Date	:	04/27/2012
Last Update Date	:	04/27/2012

Similar Medicare Providers

1427471689 — RUTH A MORGESE PT
Practice Location Address:

13 DOS LOCOS
LOS LUNAS, NM
87031-5014

Practice Phone: 505-559-0164
Practice Fax: 505-916-0727

1619430493 — STEVEN D BURDETT
Practice Location Address:

13 DOS LOCOS
LOS LUNAS, NM
87031-5014

Practice Phone: 505-559-0164
Practice Fax: 505-212-1141

1831198076 — CLINTON J. CHOATE L.AC
Practice Location Address:

1851 COMSTOCK AVE
LOS ANGELES, CA
90025-5014

Practice Phone: 310-277-3567
Practice Fax:

1982766168 — MRS. YUNG J PARK RPH
Practice Location Address:

5014 HUNTINGTON DR SOUTH
LOS ANGELES, CA
90032-1698

Practice Phone: 323-222-2362
Practice Fax: 323-225-4171

1285100982 — MR. PAUL MICHAEL MASTROFRANCESCO LCSW
Practice Location Address:

1851B COMSTOCK AVE
LOS ANGELES, CA
90025-5014

Practice Phone: 202-329-1694
Practice Fax:

1063130409 — STEVEN STEWART
Practice Location Address:

6380 WILSHIRE BLVD STE 850
LOS ANGELES, CA
90048-5014

Practice Phone: 310-341-6496
Practice Fax:

Directions to “'THERAPY IS FUN', INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.