Organization
PEDIATRIC SPEECH SERVICES OF ALBUQUERQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SHELINE M.S. CCC-SLP (OWNER)
(520) 334-0125
Entity
Organization
Contact information
Practice address
4333 PAN AMERICAN FWY NE STE B, ALBUQUERQUE, NM 87107-6833
(520) 334-0125
Mailing address
5412 VALLE VISTA DR NW, ALBUQUERQUE, NM 87120-2421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5361
NM
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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