Organization
SPEAK EASY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BRAUGHT MS, CCC-SLP (OWNER)
(505) 269-0677
Entity
Organization
Contact information
Practice address
901 RIO GRANDE BLVD NW, SUITE F-146, ALBUQUERQUE, NM 87104-2057
(505) 269-0677
(505) 243-0492
Mailing address
PO BOX 7940, ALBUQUERQUE, NM 87194-7940
(505) 269-0677
(505) 243-0492
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
845
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43804306
—
NM
Enumeration date
07/31/2013
Last updated
08/17/2016
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