Individual
SAMUEL DENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10320 COTTONWOOD PARK NW STE A, ALBUQUERQUE, NM 87114-7008
(505) 250-5204
Mailing address
9800 RIVERSIDE RD NW, ALBUQUERQUE, NM 87114-1922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2025-0006
NM
235Z00000X
Speech-Language Pathologist
SLPCF23037
NM
Other
Enumeration date
08/21/2023
Last updated
02/07/2025
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