Individual
MARSHA GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
412 ALAMEDA BLVD NW, ALAMEDA ES, ALBUQUERQUE, NM 87114-2020
(505) 898-0070
Mailing address
412 ALAMEDA BLVD NW, ALAMEDA ES, ALBUQUERQUE, NM 87114-2020
(505) 898-0070
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1290
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J 5145
—
NM
Enumeration date
04/03/2007
Last updated
07/09/2007
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