| NPI | 1316344666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SPENCE Speech Language Pathologist 575-520-9549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5665) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |