Individual
TAYLOR MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10320 COTTONWOOD PARK NW, ALBUQUERQUE, NM 87114-7008
(505) 490-0426
Mailing address
480 SUNRISE WEST DR SW, ALBUQUERQUE, NM 87121-1313
(505) 490-0426
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7948
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPA7948
APPRENTICE SPEECH LANGUAGE PATHOLOGY
NM
Enumeration date
05/10/2023
Last updated
05/10/2023
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