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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TERRI NIALS BACA, MS CCC SLP

Active Sole Proprietor

MRS. TERRI NIALS BACA, MS CCC SLP is a Speech, Language and Hearing Specialist healthcare provider located in PORTTALES, New Mexico. NPI 1568553717 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · PORTTALES, NM

Registration Details

NPI Number
1568553717
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2006 (19.849627416502 yrs)
Last Updated
Feb 3, 2020
License
1176 (NM)
Sole Proprietor
Yes

Practice Information

Address
1500 S. AVE K
REGIONAL EDUCATION COOPERATIVE 6
PORTTALES, NM, 88130
Browse NM providers · Browse ZIP 88130
Phone
5755624455
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.