Healthcare Provider Details
I. General information
NPI: 1811233588
Provider Name (Legal Business Name): BILINGUAL INTERVENTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/27/2012
Last Update Date: 12/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3805 ATRISCO DR NW SUITE B
ALBUQUERQUE NM
87120-4980
US
IV. Provider business mailing address
3805 ATRISCO DR NW SUITE B
ALBUQUERQUE NM
87120-4980
US
V. Phone/Fax
- Phone: 505-508-1830
- Fax: 505-508-1850
- Phone: 505-508-1830
- Fax: 505-508-1850
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MONICA
GURULE
Title or Position: OWNER
Credential: M.S., CCC-SLP
Phone: 505-508-1830