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NPI Code Detail

MEDICARE: KRISTIN MARUSKA M.A. CCC-SLP

MEDICARE: KRISTIN MARUSKA M.A. CCC-SLP
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
1235Z00000XSpeech-Language Pathologist2489NM

General Provider Information

NPI Number : 1619040664
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN MARUSKA M.A. CCC-SLP
Provider Business Mailing Address
First Line : 1090 MED PARK DR.
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3236
Country : US
Telephone Number : 575-523-7243
Fax Number : 575-525-5641
Provider Business Practice Location Address
First Line : 1090 MED PARK DR.
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3236
Country : US
Telephone Number : 575-523-7243
Fax Number : 575-525-5641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 03/10/2022

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Directions to “ KRISTIN MARUSKA M.A. CCC-SLP” Practice Location

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