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NPI Code Detail

MEDICARE: AUTISM COMMUNICATION CONSULTANTS

MEDICARE: AUTISM COMMUNICATION CONSULTANTS
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 Pathologist3237NM

General Provider Information

NPI Number : 1265758437
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTISM COMMUNICATION CONSULTANTS
Provider Business Mailing Address
First Line : PO BOX 36118
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87176-6118
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2521 SAN PEDRO DR NE STE D
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-4118
Country : US
Telephone Number : 505-881-4618
Fax Number : 505-212-0496
Authorized Official
Title or Position : OWNER
Name : MR. JAMES FLETCHER SCOTT
Credential : MA CCC/SLP
Telephone Number : 505-881-4618
Provider Enumeration Date : 04/13/2010
Last Update Date : 04/13/2010

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Directions to “AUTISM COMMUNICATION CONSULTANTS ” 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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