Individual
PHILLIP L GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
100 SUN AVE NE STE 650, ALBUQUERQUE, NM 87109
(505) 835-6868
(844) 410-8875
Mailing address
100 SUN AVE NE STE 650, ALBUQUERQUE, NM 87109-4670
(505) 835-6868
(844) 410-8875
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5026
NM
Other
Enumeration date
09/04/2012
Last updated
10/05/2018
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