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

Maryann Fagrelius, MACCC-SP

Individual provider Speech-Language Pathologist · NPI 1578612198

Maryann Fagrelius, MACCC-SP is a Speech-Language Pathologist in Farmington, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2007

Practice location Address checks out

2001 S Hidden Glenn St
Farmington, NM 87401-5410
Phone: (505) 486-2360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 005 (NM)

Record details

NPI number1578612198
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SP
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 8, 2007

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