Individual
JENNIFER ALYX MEDLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
20 CEDAR HILL DR, CEDAR CREST, NM 87008-9428
(505) 238-4445
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3165
NM
Other
Enumeration date
01/12/2009
Last updated
09/25/2024
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