Individual
MARY ANNE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1111 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1614
(505) 255-5501
Mailing address
10901 SAN RAFAEL AVE NE, ALBUQUERQUE, NM 87122-3523
(505) 980-8028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C 3840
NM
Other
Enumeration date
01/29/2007
Last updated
04/07/2009
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