Individual
HALEY VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10320 COTTONWOOD PARK NW, ALBUQUERQUE, NM 87114-7008
(505) 345-4450
Mailing address
PO BOX 1199, SHIPROCK, NM 87420-1199
(505) 368-5163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2023-0008
NM
235Z00000X
Speech-Language Pathologist
SAH20230008
NM
Other
Enumeration date
08/23/2023
Last updated
02/07/2024
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