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NPI Code Detail

MEDICARE: TAMARA DENGLER M.S, CCC-SLP

MEDICARE:   TAMARA  DENGLER  M.S, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist4488NM

General Provider Information

NPI Number : 1821487109
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA DENGLER M.S, CCC-SLP
Provider Business Mailing Address
First Line : 103 HOSPITAL LOOP NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-2115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 103 HOSPITAL LOOP NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-2115
Country : US
Telephone Number : 505-348-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2015
Last Update Date : 01/09/2015

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Directions to “ TAMARA DENGLER M.S, CCC-SLP” Practice Location

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