Individual
KYLA EVELYN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1710 MESA ST SE, ALBUQUERQUE, NM 87106-4243
(907) 854-9679
Mailing address
5819 AVENIDA LA BARRANCA NW, ALBUQUERQUE, NM 87114-4823
(907) 854-9679
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2024-0020
NM
Other
Enumeration date
02/01/2024
Last updated
03/16/2026
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