Individual
MRS. LISA A. FIERRO-BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
408 N CANYON ST, CARLSBAD, NM 88220-5812
(505) 234-3300
Mailing address
2202 MOUNTAIN VIEW DR, CARLSBAD, NM 88220-3120
(505) 885-2473
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3448
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3448
STATE LICENSE NUMBER
NM
05
—
B5596
—
NM
Enumeration date
03/12/2007
Last updated
07/08/2007
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