Individual
WYLIE LYNN SKILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-4866
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(760) 887-1474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2024-0306
NM
Other
Enumeration date
10/14/2024
Last updated
01/21/2025
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