Individual
LESLIE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
150 COYOTE RUN, CORRALES, NM 87048-9079
(505) 358-6429
Mailing address
150 COYOTE RUN, CORRALES, NM 87048-9079
(505) 358-6429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4195
NM
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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