Individual
MS. STEPHANIE ELEAZAR REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-0224
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-0224
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP008401
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP7366
NM
Other
Enumeration date
10/28/2019
Last updated
06/15/2023
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