Organization
WENDY TOOKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY TOOKER MS, CCC-SLP (OWNER)
(505) 269-4753
Entity
Organization
Contact information
Practice address
400 CALLE DE WENCES, LOS LUNAS, NM 87031-9300
(505) 269-4753
(928) 779-2361
Mailing address
505 W FIR AVE, FLAGSTAFF, AZ 86001-1308
(505) 269-4753
(928) 779-2361
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3850
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A0363
—
NM
Enumeration date
12/28/2010
Last updated
12/28/2010
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