Individual
JULIA INGRID FJELDSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
820 CAMINO VISTAS ENCANTADA, SANTA FE, NM 87507-7797
(505) 660-9781
(505) 471-1403
Mailing address
820 CAMINO VISTAS ENCANTADA, SANTA FE, NM 87507-7797
(505) 660-9781
(505) 471-1403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1869
NM
Other
Enumeration date
05/31/2009
Last updated
05/31/2009
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