Provider Demographics
NPI:1780043083
Name:SPEECH & LANGUAGE A TO Z, LLC
Entity Type:Organization
Organization Name:SPEECH & LANGUAGE A TO Z, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:505-363-6449
Mailing Address - Street 1:713 JEFFERSON ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-6203
Mailing Address - Country:US
Mailing Address - Phone:505-363-6449
Mailing Address - Fax:
Practice Address - Street 1:6501 WYOMING BLVD NE
Practice Address - Street 2:BUILDING C, SUITE 115
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3932
Practice Address - Country:US
Practice Address - Phone:505-375-0211
Practice Address - Fax:844-308-5855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1245609254Medicaid