Individual
ELIZABETH ANN BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
Contact information
Practice address
5200 COPPER AVE NE, ALBUQUERQUE, NM 87108-1473
(505) 255-5099
(505) 255-4206
Mailing address
5200 COPPER AVE NE, ALBUQUERQUE, NM 87108-1473
(505) 255-5099
(505) 255-4206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4487
NM
Other
Enumeration date
02/17/2009
Last updated
01/14/2011
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