Organization
ZIA SPEECH AND SWALLOW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIONA VERONICA GOODELL MS, CCC-SLP (AUTHORIZED REPRESENTATIVE)
(386) 481-0590
Entity
Organization
Contact information
Practice address
1023 W 15TH ST, PORTALES, NM 88130-6680
(208) 539-8711
Mailing address
6801 JEFFERSON ST NE STE 150 PMB 3524, ALBUQUERQUE, NM 87109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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