Individual
AMBER DAWN WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1600 SUTTER PL, CLOVIS, NM 88101-4611
(575) 769-4490
(575) 769-4541
Mailing address
911 E 13TH ST, CLOVIS, NM 88101-6121
(505) 749-2003
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
3934
NM
235Z00000X
Speech-Language Pathologist
Primary
5156
NM
Other
Enumeration date
11/08/2006
Last updated
09/26/2012
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