Individual
WENDY DENISE BUCKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2410 VENETIAN WAY SW, ALBUQUERQUE, NM 87105-7236
(505) 255-1100
Mailing address
2410 VENETIAN WAY SW, ALBUQUERQUE, NM 87105-7236
(505) 610-7020
(866) 848-6905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
914
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D3884
—
NM
Enumeration date
12/26/2006
Last updated
03/17/2018
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