| Pediatric Therapy Inc. | |
| 
					4101 Bryan Ave Nw, Albuquerque, NM 87114-5858  | |
| (505) 620-0541 | |
| (505) 899-2218 | 
| Full Name | Pediatric Therapy Inc. | 
|---|---|
| Type | Facility | 
| Speciality | Speech-language Pathologist | 
| Location | 4101 Bryan Ave Nw, Albuquerque, New Mexico | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336261254 | NPI | - | NPPES | 
| 30074851 | Other | NM | DD AND MF WAIVER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3299 (New Mexico) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pediatric Therapy Inc. 4101 Bryan Ave Nw, Albuquerque, NM 87114-5858 Ph: (505) 620-0541  | Pediatric Therapy Inc. 4101 Bryan Ave Nw, Albuquerque, NM 87114-5858 Ph: (505) 620-0541  | 
Elizabeth Y Kam, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7801 Candelaria Rd Ne, Sandia Hs, Albuquerque, NM 87110 Phone: 505-294-1511  | |
Ms. Brittney Amber Martinez,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10800 Comanche Rd Ne Apt 329, Albuquerque, NM 87111 Phone: 505-927-8291 Fax: 505-266-6306  | |
Breanna White,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9500 Montgomery Blvd Ne Ste 215, Albuquerque, NM 87111 Phone: 505-247-4224  | |
Tyler Brewer, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6811 Taylor Ranch Rd Nw, Albuquerque, NM 87120 Phone: 505-898-1492  | |
Leslie Guzman, SLP-CF Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6400 Uptown Blvd Ne, Suite 360w, Albuquerque, NM 87110 Phone: 505-855-9805 Fax: 505-848-9468  | |
Samantha Vance, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6400 Uptown Blvd Ne Ste 360, Albuquerque, NM 87110 Phone: 505-299-9010  | |
Marsha Grover, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 412 Alameda Blvd Nw, Alameda Es, Albuquerque, NM 87114 Phone: 505-898-0070  |