Individual
PAMELA STOUT MCCASKILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2436 ZICKERT RD NW, DURANES ES, ALBUQUERQUE, NM 87104-2831
(505) 764-2018
Mailing address
2436 ZICKERT RD NW, DURANES ES, ALBUQUERQUE, NM 87104-2831
(505) 764-2018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C 4864
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE ASSIGNED
—
NM
Enumeration date
02/22/2011
Last updated
02/22/2011
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