Individual
ELIZABETH MARTINS-MCCLUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6801 VENTANA VILLAGE RD NW, VENTANA RANCH ES, ALBUQUERQUE, NM 87114-4183
(505) 890-7375
Mailing address
6801 VENTANA VILLAGE RD NW, VENTANA RANCH ES, ALBUQUERQUE, NM 87114-4183
(505) 890-7375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1577
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L4746
—
NM
Enumeration date
02/27/2007
Last updated
07/09/2007
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