Individual
LAURA SHIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
6400 UPTOWN BLVD NE, SUITE 360W, ALBUQUERQUE, NM 87110-4204
(505) 855-9805
(505) 848-9468
Mailing address
6400 UPTOWN BLVD NE, SUITE 360W, ALBUQUERQUE, NM 87110-4204
(505) 855-9805
(505) 848-9468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5121
NM
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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