Individual
ANNETTE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
254 GENE AVE NW, ALBUQUERQUE, NM 87107-5317
(505) 222-8762
Mailing address
254 GENE AVE NW, ALBUQUERQUE, NM 87107-5317
(505) 222-8762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7384
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D9003
—
NM
Enumeration date
03/06/2007
Last updated
03/14/2025
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