Innovative Speech Therapy
NPI #1275863250 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1275863250
- Entity Type
- Organization
- Organization Name
- Innovative Speech Therapy
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 13, 2010
- Last Updated
- Jan 13, 2010
Practice Location
- Address
- 5801 LOWELL ST NE
- Address 2
- 26B
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87111-5942
- Phone
- (505) 417-3045
Authorized Official
- Name
- MS. STACIE GRAY, M.S., CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (505) 417-3045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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