Individual
MS. MARY ELLEN ULIBARRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2723 SANTA MONICA AVE SE, ALBUQUERQUE, NM 87106-3044
(505) 249-5558
Mailing address
2723 SANTA MONICA AVE SE, ALBUQUERQUE, NM 87106-3044
(505) 249-5558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1292
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000J9894
—
NM
Enumeration date
12/15/2006
Last updated
07/09/2007
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