Mia H Lundergan, MA CCC SLP
NPI #1851424196 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1851424196
- Entity Type
- Individual
- Name
- Mia H Lundergan, MA CCC SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC SLP
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 901 DOUGLAS AVE
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-3928
- Phone
- (505) 454-5700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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