Individual
MRS. SUZANNE ELIZABETH MELBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
408 N CANYON ST, CARLSBAD, NM 88220-5812
(505) 234-3303
(505) 234-3445
Mailing address
2109 CALLE DE CODORNIZ, CARLSBAD, NM 88220-4180
(505) 887-8684
(505) 243-3445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
130
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J9304
—
NM
Enumeration date
12/21/2006
Last updated
07/08/2007
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