Wall, Laura
Wall, Laura is an sole proprietor health care provider with primary practice located at 13509 Sunset Canyon Dr Ne , Albuquerque NM 87111-3056. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wall, Laura can be contacted via phone (505) 573-8580.Contact Information
Primary practice address
13509 Sunset Canyon Dr Ne
Albuquerque NM 87111-3056
Phone: (505) 573-8580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3102 | New Mexico |
Profile Details
| NPI number | 1962531632 |
|---|---|
| LBN Legal business name | Wall, Laura |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1962531632 | NPPES |
| New Mexico | MEDICAID | 51135281 |
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