NPI 1013002971

Susan Koller, MACCCSLP

Practitioner Speech-Language Pathologist Albuquerque, NM

Practice location

Address: 2819 Richmond Dr NE, Albuquerque, NM 87107-1918
Phone: (505) 883-3787
Fax: (505) 830-0106
Mailing address: 3301 Monroe St NE Unit I98, Albuquerque, NM 87110-1873

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 662 (NM)

Other Speech-Language Pathologist providers in New Mexico →

Registry record

NPI: 1013002971
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2006
Record last updated: 10 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.