Provider Demographics
NPI:1699015305
Name:MOLLOY-SAWYER, PATRICIA T (MS, CCC-A, F-AAA)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:T
Last Name:MOLLOY-SAWYER
Suffix:
Gender:F
Credentials:MS, CCC-A, F-AAA
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC-A, F-AAA
Mailing Address - Street 1:10700 CORRALES RD NW
Mailing Address - Street 2:SUITE I
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-9254
Mailing Address - Country:US
Mailing Address - Phone:505-890-0003
Mailing Address - Fax:505-890-3330
Practice Address - Street 1:10700 CORRALES RD NW
Practice Address - Street 2:SUITE I
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-9254
Practice Address - Country:US
Practice Address - Phone:505-890-0003
Practice Address - Fax:505-890-3330
Is Sole Proprietor?:No
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5270231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner