Individual
AUDREY RENEE ALBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1401 MONTANA AVE STE C, EL PASO, TX 79902-5654
(915) 209-0014
(915) 792-0029
Mailing address
1401 MONTANA AVE STE C, EL PASO, TX 79902-5654
(915) 209-0014
(915) 792-0029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111433
TX
235Z00000X
Speech-Language Pathologist
36872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
07/06/2012
Last updated
09/04/2024
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