Organization Name: | AUTISM SPECIALISTS LLC |
NPI Number: | 1104066463 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA A DONALDSON (CEO) |
Mailing Address: | 4420 Silver Arrow Dr Nw Albuquerque |
State: | NM US |
Postal Code: | 871144298 |
Phone Number: | 5057207537 |
Fax Number: | 5059224917 |
NPI Enumeration Date: | 02/26/2009 |
NPI Last Update Date: | 02/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | FA0085337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |