Individual
MRS. MONICA RENAE ZELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4101 BRYAN AVE NW, ALBUQUERQUE, NM 87114-5858
(505) 620-0541
(505) 899-2218
Mailing address
4101 BRYAN AVE NW, ALBUQUERQUE, NM 87114-5858
(505) 620-0541
(505) 899-2218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3299
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30074851
DD AND MF WAIVER NUMBER
NM
Enumeration date
12/11/2006
Last updated
07/08/2007
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