# ALBUQUERQUE SPEECH LANGUAGE AND HEARING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720093503
- **Authorized official:** MRS. TAMMY J LITTS (BUSINESS MANAGER)
- **Authorized official phone:** (505) 247-4224

## Contact information

- **Practice address:** 9500 MONTGOMERY BLVD NE STE 215, ALBUQUERQUE, NM 87111-2579
- **Practice address phone:** (505) 247-4224
- **Practice address fax:** (505) 247-1772
- **Mailing address:** 9500 MONTGOMERY BLVD NE STE 215, ALBUQUERQUE, NM 87111-2579
- **Mailing address phone:** (505) 247-4224
- **Mailing address fax:** (505) 247-1772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2355S0801X | Speech-Language Assistant | 01-605450-00-4 | NM | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | T9081 | — | NM |