Individual
PATRICIA LITTLE SOLDIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC/SLP
Contact information
Practice address
4210 SABANA GRANDE AVE SE, RIO RANCHO, NM 87124-1152
(505) 892-6603
Mailing address
7805 COORS BLVD SW, ALBUQUERQUE, NM 87121-7307
(505) 389-9243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
101119
TX
235Z00000X
Speech-Language Pathologist
Primary
6705
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912110032
SLP LICENSE
NM
05
—
197084001
—
TX
Enumeration date
05/07/2007
Last updated
10/11/2021
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