Individual
MRS. SACHIELLE SAMEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1902 QUAIL RUN RD NE, ALBUQUERQUE, NM 87122-1170
(617) 447-1217
Mailing address
1902 QUAIL RUN RD NE, ALBUQUERQUE, NM 87122-1170
(617) 447-1217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6827
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12026438
ASHA CCC
—
01
—
4905
NM STATE LICENSURE
NM
01
—
6827
SPEECH LANGAUGE PATH PROFESSIONAL LICENSURE
MA
Enumeration date
09/03/2008
Last updated
10/17/2011
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