Organization
SANTA FE SPEECH SERVICES
Active
Other names
ABQ Speech Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTIN ZAKARY MS CCC SLP (PRESIDENT)
(505) 660-8308
Entity
Organization
Contact information
Practice address
17 SAGE HILL DR, PLACITAS, NM 87043-9426
(505) 660-8308
(505) 216-9145
Mailing address
17 SAGE HILL DR, PLACITAS, NM 87043-9426
(505) 660-8308
(505) 216-9145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2820
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4566
MEDICAID DD WAIVER
NM
Enumeration date
03/13/2007
Last updated
01/31/2012
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