Healthcare Provider Details

I. General information

NPI: 1780043083
Provider Name (Legal Business Name): SPEECH & LANGUAGE A TO Z, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 WYOMING BLVD NE BUILDING C, SUITE 115
ALBUQUERQUE NM
87109-3932
US

IV. Provider business mailing address

713 JEFFERSON ST NE
ALBUQUERQUE NM
87110-6203
US

V. Phone/Fax

Practice location:
  • Phone: 505-375-0211
  • Fax: 844-308-5855
Mailing address:
  • Phone: 505-363-6449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY MARIE SCHULZ
Title or Position: OWNER & SPEECH-LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 505-363-6449