Organization
KIMBERLY PAJOR-PERRIN THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY A PAJOR-PERRIN M.S.,CCC/SP (SPEECH-LANGUAGE PATHOLOGIST)
(505) 306-6441
Entity
Organization
Contact information
Practice address
7116 MINUTEMAN DR NE, ALBUQUERQUE, NM 87109-5033
(505) 306-6441
(505) 856-5398
Mailing address
7116 MINUTEMAN DR NE, ALBUQUERQUE, NM 87109-5033
(505) 306-6441
(505) 856-5398
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1890
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13205579
DD WAIVER PROVIDER NUMBER
NM
05
—
51208075
—
NM
Enumeration date
08/06/2006
Last updated
08/22/2020
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