Individual
DANIELLE M CONSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 COPPER AVE NE, #A, ALBUQUERQUE, NM 87108-1473
(505) 266-5557
(505) 266-5545
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
104277
TX
235Z00000X
Speech-Language Pathologist
17593
CA
235Z00000X
Speech-Language Pathologist
Primary
5528
NM
Other
Enumeration date
06/09/2009
Last updated
02/22/2015
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