Individual
ARDELL FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2611 EUBANK BLVD NE, ALBUQUERQUE, NM 87112-1312
(505) 298-6752
Mailing address
7716 TRAIL RIDGE RD NE, ALBUQUERQUE, NM 87109-3213
(505) 821-9681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1359
NM
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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