Individual
LESLIE BELITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7500 BARSTOW ST NE, DENNIS CHAVEZ ES, ALBUQUERQUE, NM 87109-4951
(505) 821-1810
Mailing address
7500 BARSTOW ST NE, DENNIS CHAVEZ ES, ALBUQUERQUE, NM 87109-4951
(505) 821-1810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1274
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J 5016
—
NM
Enumeration date
01/29/2007
Last updated
07/09/2007
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