Provider Demographics
NPI:1598842973
Name:MONTOYA-SOTO, DESSIE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DESSIE
Middle Name:
Last Name:MONTOYA-SOTO
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 VISTA DE ORO
Mailing Address - Street 2:
Mailing Address - City:PLACITAS
Mailing Address - State:NM
Mailing Address - Zip Code:87043-9227
Mailing Address - Country:US
Mailing Address - Phone:505-771-8036
Mailing Address - Fax:505-771-8036
Practice Address - Street 1:6519 4TH ST NW
Practice Address - Street 2:
Practice Address - City:LOS RANCHOS DE ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-5812
Practice Address - Country:US
Practice Address - Phone:505-342-2500
Practice Address - Fax:505-342-2500
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM835235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist