Elizabeth Bannowsky, M.S. CCC-SLP
NPI #1063128239 in Aztec, New Mexico
Provider Information
- NPI Number
- 1063128239
- Entity Type
- Individual
- Name
- Elizabeth Bannowsky, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Jan 30, 2023
- Last Updated
- Jan 30, 2023
Practice Location
- Address
- 901 MCCOY AVE
- City
- Aztec
- State
- New Mexico
- ZIP Code
- 87410-1727
- Phone
- (505) 334-6831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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