Individual
ELYSE NICOLE TIMOTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8100 MOUNTAIN RD NE, ALBUQUERQUE, NM 87110-7822
(505) 344-0746
Mailing address
2208 ROZINANTE CT NW, ALBUQUERQUE, NM 87104-3061
(801) 440-1461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NM
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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