Individual
LISA MARIE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
1030 BUENA VISTA DR SE, ALBUQUERQUE, NM 87106-5120
(505) 417-3782
Mailing address
1030 BUENA VISTA DR SE, ALBUQUERQUE, NM 87106-5120
(505) 417-3782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5876
NM
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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