Individual
ELIZABETH BRENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9400 BENAVIDES RD SW, TRUMAN MS, ALBUQUERQUE, NM 87121-7910
(505) 836-3030
Mailing address
9400 BENAVIDES RD SW, TRUMAN MS, ALBUQUERQUE, NM 87121-7910
(505) 836-3030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1320
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J 5005
—
NM
Enumeration date
01/29/2007
Last updated
07/09/2007
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