Provider Demographics
NPI:1043756653
Name:CORRAL, MARIA ELENA (MA, MS)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:CORRAL
Suffix:
Gender:F
Credentials:MA, MS
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Other - Credentials:
Mailing Address - Street 1:839 COUNTRY CLUB DR SE APT 2E
Mailing Address - Street 2:2E
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-5826
Mailing Address - Country:US
Mailing Address - Phone:505-400-6171
Mailing Address - Fax:
Practice Address - Street 1:2410 VENETIAN WAY SW
Practice Address - Street 2:2E
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87105-7236
Practice Address - Country:US
Practice Address - Phone:505-400-6171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist