Individual
STEVEN TISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5924 ANAHEIM AVE NE STE B, ALBUQUERQUE, NM 87113-1879
(505) 881-4618
(505) 922-4917
Mailing address
7100 LOUISIANA BLVD NE APT K201, ALBUQUERQUE, NM 87109-4761
(505) 301-2961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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