Individual
JESSICA MICHELE MOUNT MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
230 TRUMAN ST NE, ALBUQUERQUE, NM 87108-1333
(505) 268-9506
Mailing address
1014 CLAUDINE ST NE, ALBUQUERQUE, NM 87112-5602
(505) 453-1714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3723
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88527522
—
NM
Enumeration date
12/13/2006
Last updated
07/09/2007
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