| Ann Flosdorf Psychotherapy,llc | |
|
9301 Indian School Rd Ne Albuquerque NM 87112-2884 | |
| (585) 329-6205 | |
| Not Available |
| Full Name | Ann Flosdorf Psychotherapy,llc |
|---|---|
| Speciality | Social Worker |
| Location | 9301 Indian School Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Martha Flores (CREDENTIALING) |
| Authorized Official Contact | 5756391534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Flosdorf Psychotherapy,llc 6001 Moon St Ne Apt 1523 Albuquerque NM 87111-1453 Ph: (585) 329-6205 | Ann Flosdorf Psychotherapy,llc 9301 Indian School Rd Ne Albuquerque NM 87112-2884 Ph: (585) 329-6205 |
| NPI Number | 1518537315 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/25/2021 |
| Medicare PECOS PAC ID | 5395140024 |
|---|---|
| Medicare Enrollment ID | O20210818003569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518537315 | NPI | - | NPPES |
| 54130336 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ann F Flosdorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376681544 PECOS PAC ID: 5092815308 Enrollment ID: I20210818003700 |
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