Individual
DLYA ANNE COCKRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
(505) 880-3700
Mailing address
1103 W AVENUE I, LOVINGTON, NM 88260-5019
(512) 917-2352
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12129237
—
235Z00000X
Speech-Language Pathologist
Primary
SAH-2024-0386
NM
Other
Enumeration date
08/22/2018
Last updated
11/20/2024
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