Individual
PAUL BRODSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
12555 STATE HIGHWAY 14 N, SAN ANTONITO ES, SANDIA PARK, NM 87047-9308
(505) 281-3931
Mailing address
12555 STATE HIGHWAY 14 N, SAN ANTONITO ES, SANDIA PARK, NM 87047-9308
(505) 281-3931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
962
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H 6599
—
NM
Enumeration date
01/29/2007
Last updated
07/09/2007
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