Provider Demographics
NPI:1659501781
Name:ALEGRIA SPEECH AND LANGUAGE SERVICES LLC
Entity Type:Organization
Organization Name:ALEGRIA SPEECH AND LANGUAGE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:DELOZIER-DEBEVEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-338-4000
Mailing Address - Street 1:11005 SPAIN RD NE STE 15
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1871
Mailing Address - Country:US
Mailing Address - Phone:505-338-4000
Mailing Address - Fax:505-323-7337
Practice Address - Street 1:11005 SPAIN RD NE STE 15
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-1871
Practice Address - Country:US
Practice Address - Phone:505-338-4000
Practice Address - Fax:505-323-7337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2667231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty