Individual
MRS. LISA MCCREADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4210A LOUISIANA BLVD NE, ALBUQUERQUE, NM 87109-1807
(505) 268-6593
(505) 268-0184
Mailing address
6200 MENDIUS AVE NE, ALBUQUERQUE, NM 87109-4124
(505) 828-0481
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3368
NM
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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