MEDICARE: SOLUTIONS SPEECH PATHOLGY SERVICES

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
1	235Z00000X	Speech-Language Pathologist	315	NM

General Provider Information

NPI Number	:	1487786513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTIONS SPEECH PATHOLGY SERVICES

Provider Business Mailing Address
First Line	:	1216 PARK AVE SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102-2840
Country	:	US
Telephone Number	:	505-242-0147
Fax Number	:

Provider Business Practice Location Address
First Line	:	1216 PARK AVE SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102-2840
Country	:	US
Telephone Number	:	505-242-0147
Fax Number	:

Authorized Official
Title or Position	:	SPEECH PATHOLOGIST, CO-OWNER
Name	:	SHARON K THIEL
Credential	:	M.S., CCC-SLP
Telephone Number	:	505-401-6485

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	08/22/2020

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Directions to “SOLUTIONS SPEECH PATHOLGY SERVICES ” Practice Location

Language	Start Address	Practice Location

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