Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Juliana Victoria Vidal, SLP

Individual provider Speech-Language Pathologist · NPI 1073456406

Juliana Victoria Vidal, SLP is a Qualified Speech Language Pathologist in Las Cruces, New Mexico. Qualified in 2025, 1 year ago. Licensed in New Mexico.

Years since qualifying
1
Licensed in
NM
In the registry since
2026
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

576 N Telshor Blvd
Las Cruces, NM 88011-8223
Phone: (575) 515-0101
Fax: (505) 334-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SAH-2026-0057 (NM)

Record details

NPI number1073456406
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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