Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mia H Lundergan, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1851424196

Mia H Lundergan, MACCCSLP is a Speech-Language Pathologist in Las Vegas, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2007

Practice location Address checks out

901 Douglas Ave
Las Vegas, NM 87701-3928
Phone: (505) 454-5700
Fax: (505) 454-5702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 564 (NM)

Record details

NPI number1851424196
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESJuly 9, 2007

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