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MIA H LUNDERGAN MA CCC SLP
NPI 1851424196
Speech-Language Pathologist in Las Vegas, NM

Active since March 14, 2007
901 DOUGLAS AVE, LAS VEGAS, NM 87701(505) 454-5700(505) 454-5702 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mia H Lundergan Ma Ccc Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA H LUNDERGAN MA CCC SLP (NPI 1851424196) is an individual speech-language pathologist provider in Las Vegas, New Mexico, licensed in New Mexico (564) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1851424196
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMIA H LUNDERGANCredential: MA CCC SLP
Location Address901 DOUGLAS AVELas Vegas, NM 87701-3928
Mailing Address1835 8th StLas Vegas, NM 87701-5007 · (505) 425-5363 · Fax (505) 454-5702
Phone(505) 454-5700
Fax(505) 454-5702
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1851424196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NM · 564
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
901 DOUGLAS AVE, Las Vegas, NM 87701
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Other Identifiers 1

Medicaid235Z00000XNM

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA JARAMILLO
Registered Nurse (School)
901 DOUGLAS AVE
LAS VEGAS, NM 87701
San Miguel County (505) 454-5700
PAULA WETTERER MS, SLP-CCC
Speech-Language Pathologist
901 DOUGLAS AVE
LAS VEGAS, NM 87701
San Miguel County (505) 454-5700
BRANDON J GALLEGOS LPMSW, MSW
Social Worker (School)
901 DOUGLAS AVE
LAS VEGAS, NM 87701
San Miguel County (505) 454-5700
DWINELL L HEVERLY BS OT
Occupational Therapist
901 DOUGLAS AVE
LAS VEGAS, NM 87701
San Miguel County (505) 454-5700
ANNETTE GARCIA LISW
Social Worker
901 DOUGLAS AVE
LAS VEGAS, NM 87701
San Miguel County (505) 454-5700
MS. ROSANNE M DIMAS
Social Worker
901 DOUGLAS AVE
LAS VEGAS, NM 87701
San Miguel County (505) 454-5770
TERRY STEPHEN MAZNIO LMSW
Social Worker (School)
901 DOUGLAS AVE
LAS VEGAS, NM 87701
San Miguel County (505) 454-5700
VANESSA MARIE COLONNA OTR/L
Occupational Therapist
901 DOUGLAS AVE
LAS VEGAS, NM 87701
San Miguel County (505) 454-2703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Lundergan's NPI number?

The NPI number for Mia Lundergan is 1851424196. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Mia Lundergan located?

Mia Lundergan practices at 901 Douglas Ave, Las Vegas, NM 87701. The listed phone number is (505) 454-5700.

What is Mia Lundergan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mia Lundergan was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.