Individual
MRS. JENNIFER MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1127 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1740
(505) 272-5335
(505) 272-5868
Mailing address
1127 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1740
(505) 272-5335
(505) 272-5868
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
C-5620
NM
235Z00000X
Speech-Language Pathologist
Primary
SLP5791
NM
Other
Enumeration date
09/08/2014
Last updated
04/25/2022
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