Individual
PRIDE V. ZIVKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
780 S WALNUT ST, BLDG #7, LAS CRUCES, NM 88001-1425
(505) 526-1161
(505) 523-1108
Mailing address
310 W ETHEL AVE, LAS CRUCES, NM 88005-2014
(505) 524-0702
(505) 523-1108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3466
NM
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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