Organization
LARYNGENESIS
Active
Other names
Laryngenesis Speech Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARC NEZ (OWNER)
(505) 459-0888
Entity
Organization
Contact information
Practice address
2716 SAN PEDRO DR NE STE D, ALBUQUERQUE, NM 87110-3331
(505) 720-6395
(505) 421-7709
Mailing address
2716 SAN PEDRO DR NE STE D, ALBUQUERQUE, NM 87110-3331
(505) 459-0888
(505) 421-7709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88737012
—
NM
Enumeration date
09/13/2021
Last updated
05/24/2023
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