Montoya, Andrea Consuelo
Montoya, Andrea Consuelo is an sole proprietor health care provider with primary practice located at 2200 Gun Club Rd Sw , Albuquerque NM 87105-6415. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Montoya, Andrea Consuelo can be contacted via phone (505) 681-7000.Contact Information
Primary practice address
2200 Gun Club Rd Sw
Albuquerque NM 87105-6415
Phone: (505) 681-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4368 | New Mexico |
Profile Details
| NPI number | 1801088927 |
|---|---|
| LBN Legal business name | Montoya, Andrea Consuelo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Feb 11th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801088927 | NPPES |
| New Mexico | MEDICAID | 17955769 |
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