Individual
MRS. COLLENE ALYCE LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 253-7223
(505) 253-1517
Mailing address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 253-7223
(505) 253-1517
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3294
NM
Other
Enumeration date
05/23/2007
Last updated
01/19/2012
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