Provider Demographics
NPI:1902790652
Name:EKERS, SYDNEY KAY (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:KAY
Last Name:EKERS
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 W CORDOVA RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-1820
Mailing Address - Country:US
Mailing Address - Phone:505-429-7793
Mailing Address - Fax:
Practice Address - Street 1:502 W CORDOVA RD STE 1
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-1820
Practice Address - Country:US
Practice Address - Phone:505-429-7793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSAH-2025-0122235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist