IndividualActive
Jennifer Medlock, M.S., CCC-SLP
NPI 1639316722 · Speech-Language Pathologist · Cedar Crest, NM
Provider details
- NPI number
- 1639316722
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3165 (NM)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
20 Cedar Hill Dr
Cedar Crest, NM 87008-9428
Phone: (505) 238-4445
Approximate (ZIP-level) locationGet directions
Mailing address
800 Bradbury Dr Se Ste 116
Albuquerque, NM 87106-4310
Registry dates
- Enumerated
- 2009-01-12
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.