Individual
TIFFANY AMBER PAULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
12211 MOUNTAIN HAZE RD NE, ALBUQUERQUE, NM 87122-1278
(505) 306-7994
Mailing address
12211 MOUNTAIN HAZE RD NE, ALBUQUERQUE, NM 87122-1278
(505) 306-7994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4037
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80978720
—
NM
Enumeration date
04/18/2007
Last updated
07/08/2007
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