| NPI | 1316029945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM JOHNSON Office Manager 505-224-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-10-17 |