Individual
KATHERINE ISAACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2901 JUAN TABO BLVD NE STE 100A, ALBUQUERQUE, NM 87112-1886
(505) 804-5358
(505) 501-7483
Mailing address
PO BOX 11175, ALBUQUERQUE, NM 87192-0175
(505) 804-5358
(505) 501-7483
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
33686
CA
235Z00000X
Speech-Language Pathologist
SLP.0005065
CO
235Z00000X
Speech-Language Pathologist
Primary
SLP7338
NM
235Z00000X
Speech-Language Pathologist
SP-2077
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59920319
—
NM
Enumeration date
01/06/2019
Last updated
09/27/2024
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