Individual
EMMA TYLER-BOLTREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
826 CAMINO DEL MONTE REY, SUITE A2, SANTA FE, NM 87505-3977
(505) 954-9940
Mailing address
921 1/2 DON JUAN ST, SANTA FE, NM 87501-2409
(505) 570-9169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5481
NM
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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