Provider Demographics
NPI:1124243381
Name:EARLEY PALAGI & ASSOCIATES, INC.
Entity type:Organization
Organization Name:EARLEY PALAGI & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:EARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:505-243-3161
Mailing Address - Street 1:1700 PRINCETON DR SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-3114
Mailing Address - Country:US
Mailing Address - Phone:505-243-3161
Mailing Address - Fax:505-243-3161
Practice Address - Street 1:1700 PRINCETON DR SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-3114
Practice Address - Country:US
Practice Address - Phone:505-243-3161
Practice Address - Fax:505-243-3161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM932235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM06725210OtherDDW PROGRAM