Provider Demographics
NPI:1699859546
Name:EKLUND, JANET ARGO (MS ,CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:ARGO
Last Name:EKLUND
Suffix:
Gender:F
Credentials:MS ,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 NAVAJO RD
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544-2626
Mailing Address - Country:US
Mailing Address - Phone:505-661-4041
Mailing Address - Fax:
Practice Address - Street 1:4001 OFFICE CT
Practice Address - Street 2:SUITE 305
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-4929
Practice Address - Country:US
Practice Address - Phone:505-466-7710
Practice Address - Fax:505-466-7714
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4048235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM58458883Medicaid