Organization
SPARROW THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN SUZANNE WELLMAN MS, CCC-SLP (OWNER/MANAGER/SLP)
(505) 203-5441
Entity
Organization
Contact information
Practice address
4200 SILVER AVE SE, SUITE A, ALBUQUERQUE, NM 87108-2887
(505) 203-5441
(505) 214-5359
Mailing address
4200 SILVER AVE SE, SUITE A, ALBUQUERQUE, NM 87108-2887
(505) 203-5441
(505) 214-5359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3515
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38655250
—
NM
05
—
42270588
—
NM
Enumeration date
11/13/2013
Last updated
11/13/2013
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