| NPI | 1740318336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE CLAIRE LOCKFORD Speech Language Pathologist 505-471-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 708) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |