Individual
DOUGLAS FALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
5901 OURAY RD NW, ALBUQUERQUE, NM 87120-1381
(505) 836-0023
Mailing address
4601 ROYENE AVE NE, ALBUQUERQUE, NM 87110-5733
(832) 330-5760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6721
NM
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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