Organization
SANDIA SPEECH LANGUAGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA BERG M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(701) 202-8281
Entity
Organization
Contact information
Practice address
917 TRAMWAY LN NE, ALBUQUERQUE, NM 87122-1309
(701) 202-8281
Mailing address
PO BOX 53594, ALBUQUERQUE, NM 87153-3594
(701) 202-8281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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