Individual
ANEEQA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
1808 PRINCETON DR NE, ALBUQUERQUE, NM 87106-2530
(316) 821-6517
Mailing address
1808 PRINCETON DR NE, ALBUQUERQUE, NM 87106-2530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5739
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E7606
—
NM
Enumeration date
10/14/2015
Last updated
10/14/2015
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