Individual
CAROL BURYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2701 DON FELIPE RD SW, PAJARITO ES, ALBUQUERQUE, NM 87105-6784
(505) 877-9718
Mailing address
2701 DON FELIPE RD SW, PAJARITO ES, ALBUQUERQUE, NM 87105-6784
(505) 877-9718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2746
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B8056
—
NM
Enumeration date
10/01/2009
Last updated
10/01/2009
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