Michelle Renee Bourguet-Jio, MS,CCC-SLP
Speech-Language Pathologist, in Laguna, NM. Individual provider (NPI-1).
NPI number1114141306
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114141306
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle Renee Bourguet-Jio
- Credential
- MS,CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 3427 | NM | Yes |
Practice location
I-40 West Exit 114 Travel Rd 55Laguna, NM 87026
Phone 505-552-9091
Mailing address
7420 Twisted Branch St NeAlbuquerque, NM 87113-0002
Phone 505-345-1619
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Speech-Language Pathologist providers in Laguna, NM
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.