MEDICARE: MS. JANET ARGO EKLUND M.S. ,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
1	235Z00000X	Speech-Language Pathologist	4048	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	:	1699859546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET ARGO EKLUND M.S. ,CCC-SLP

Provider Business Mailing Address
First Line	:	500 NAVAJO RD
Second Line	:
City	:	LOS ALAMOS
State	:	NM
Zip	:	87544-2626
Country	:	US
Telephone Number	:	505-661-4041
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 OFFICE CT
Second Line	:	SUITE 305
City	:	SANTA FE
State	:	NM
Zip	:	87507-4929
Country	:	US
Telephone Number	:	505-466-7710
Fax Number	:	505-466-7714

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	10/09/2007

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