Individual
ALEXANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4505 BALI CT NE, ALBUQUERQUE, NM 87111-2801
(505) 264-3102
Mailing address
6813 LOS TRECHOS CT NE, ALBUQUERQUE, NM 87109-2770
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4592
NM
235Z00000X
Speech-Language Pathologist
C-4402
NM
Other
Enumeration date
10/28/2008
Last updated
01/04/2010
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