Individual provider · Type 1 NPI

Mia H. Lundergan, MA CCC SLP

Speech-Language Pathologist · Las Vegas, NM

NPI number 1851424196 Active

Practice location

901 Douglas Ave
Las Vegas, NM 87701-3928

Fax (505) 454-5702

Mailing address

1835 8th St
Las Vegas, NM 87701-5007

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X564 (NM)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1851424196

Mia H. Lundergan, MA CCC SLP's National Provider Identifier is 1851424196, issued on Mar 14, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Las Vegas, NM. The record was last updated on Jul 9, 2007.