Individual
BONNIE LYNN CRISPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4236 COE DR NE, ALBUQUERQUE, NM 87110-4937
(505) 453-0074
Mailing address
4236 COE DR NE, ALBUQUERQUE, NM 87110-4937
(505) 453-0074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
407
NM
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
01/23/2025
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