Individual
TERESITA AMANDA DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., SLP
Contact information
Practice address
560 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5803
(505) 927-3521
(505) 867-7850
Mailing address
2609 CAMINO PLATA LOOP NE, RIO RANCHO, NM 87144-5826
(505) 927-3521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
C-4942
NM
235Z00000X
Speech-Language Pathologist
Primary
SLP-5128
NM
Other
Enumeration date
07/27/2011
Last updated
01/13/2025
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