Individual
SUNDARI MICHELLE ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4811 HARDWARE DR NE # 1, ALBUQUERQUE, NM 87109-2017
(505) 268-5933
Mailing address
4811 HARDWARE DR NE # 1, ALBUQUERQUE, NM 87109-2017
(575) 707-3527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7051
NM
Other
Enumeration date
06/17/2019
Last updated
06/16/2020
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