Organization
BERNALILLO PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL NIEMANN (SPEECH AND LANGUAGE PATHOLOGIST)
(505) 404-5727
Entity
Organization
Contact information
Practice address
224 N CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6146
(505) 404-5727
(505) 867-7891
Mailing address
224 N CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6146
(505) 404-5727
(505) 867-7891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1556
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L4664
—
NM
Enumeration date
09/26/2006
Last updated
08/22/2020
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