Individual
SUE FITZMAURICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6400 UPTOWN BLVD NE STE 200W, CITY CENTER, ALBUQUERQUE, NM 87110-4278
(505) 855-9958
Mailing address
6400 UPTOWN BLVD NE STE 200W, CITY CENTER, ALBUQUERQUE, NM 87110-4278
(505) 855-9958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
797
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K0013
—
NM
Enumeration date
02/01/2008
Last updated
02/01/2008
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