Healthcare Provider Details

I. General information

NPI: 1689582082
Provider Name (Legal Business Name): PATRICIA MARIE PLACHNO M.S., CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9550 SAN MATEO BLVD NE STE A
ALBUQUERQUE NM
87113-2313
US

IV. Provider business mailing address

9550 SAN MATEO BLVD NE STE A
ALBUQUERQUE NM
87113-2313
US

V. Phone/Fax

Practice location:
  • Phone: 505-302-6850
  • Fax:
Mailing address:
  • Phone: 505-302-6850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSAH-2026-0245
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: