| NPI | 1457693574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY FUESSEL Slp Supervisor 505-889-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5290) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |