Individual
VICKI LYNN PERRYMAN VINING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
4001 BERMUDA DRIVE NE, ALBUQUERQUE, NM 87111-4001
(505) 271-1604
Mailing address
4001 BERMUDA DRIVE NE, ALBUQUERQUE, NM 87111-4001
(505) 271-1604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1399
NM
Other
Enumeration date
05/01/2007
Last updated
08/29/2011
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