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NPI Code Detail

MEDICARE: MRS. VALERIE TRASK M.S. CCC-SLP

MEDICARE: MRS. VALERIE TRASK 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 Pathologist4965NM

General Provider Information

NPI Number : 1194115550
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VALERIE TRASK M.S. CCC-SLP
Provider Business Mailing Address
First Line : 6801 DRAGONFLY LN SW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87105-4268
Country : US
Telephone Number : 505-280-5573
Fax Number :
Provider Business Practice Location Address
First Line : 7900 CONSTITUTION AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-7513
Country : US
Telephone Number : 505-296-5565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2015
Last Update Date : 01/23/2015

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Directions to “ MRS. VALERIE TRASK M.S. CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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