Individual
PAULA WETTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC
Contact information
Practice address
901 DOUGLAS AVE, LAS VEGAS, NM 87701-3928
(505) 454-5700
Mailing address
901 DOUGLAS AVE, LAS VEGAS, NM 87701-3928
(505) 454-5700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5302
NM
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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