Individual
KATIE ANN TOMMILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
171 VIA SEDILLO, TIJERAS, NM 87059-7853
(314) 677-5960
Mailing address
171 VIA SEDILLO, TIJERAS, NM 87059-7853
(314) 677-5960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6161
NM
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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