Individual
MICHELLE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
554 90TH ST SW, EDWARD GONZALES ES, ALBUQUERQUE, NM 87121-7710
(505) 831-6214
Mailing address
554 90TH ST SW, EDWARD GONZALES ES, ALBUQUERQUE, NM 87121-7710
(505) 831-6214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2407
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L 6027
—
NM
Enumeration date
03/20/2007
Last updated
07/09/2007
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