Montoya, Andrea Consuelo

Montoya, Andrea Consuelo is an sole proprietor health care provider with primary practice located at 2200 Gun Club Rd Sw , Albuquerque NM 87105-6415. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Montoya, Andrea Consuelo can be contacted via phone (505) 681-7000.

Contact Information

Primary practice address
2200 Gun Club Rd Sw Albuquerque NM 87105-6415
Phone: (505) 681-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4368 New Mexico

Profile Details

NPI number 1801088927
LBN Legal business name Montoya, Andrea Consuelo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2007
Last updated Feb 11th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801088927 NPPES
New Mexico MEDICAID 17955769

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