Individual
PAUL DORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
3912 ISLETA BLVD SW, HARRISON MS, ALBUQUERQUE, NM 87105-6131
(505) 877-1279
Mailing address
3912 ISLETA BLVD SW, HARRISON MS, ALBUQUERQUE, NM 87105-6131
(505) 877-1279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
295
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P 2568
—
NM
Enumeration date
01/31/2007
Last updated
07/09/2007
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