Organization
GESTALT SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNA FISCH (SLP)
(925) 577-5512
Entity
Organization
Contact information
Practice address
1115 11TH ST NW, ALBUQUERQUE, NM 87104-2105
(925) 577-5512
Mailing address
1115 11TH ST NW, ALBUQUERQUE, NM 87104-2105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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