| Anna E Eder, Lisw, Llc | |
|
9301 Indian School Rd Ne Suite 103-b Albuquerque NM 87112-2884 | |
| (595) 974-6706 | |
| Not Available |
| Full Name | Anna E Eder, Lisw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9301 Indian School Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Anna E Eder (OWNER) |
| Authorized Official Contact | 5059746706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna E Eder, Lisw, Llc 6041 Sequoia Rd Nw #a-5 Albuquerque NM 87120-3440 Ph: (505) 417-5957 | Anna E Eder, Lisw, Llc 9301 Indian School Rd Ne Suite 103-b Albuquerque NM 87112-2884 Ph: (595) 974-6706 |
| NPI Number | 1538502323 |
|---|---|
| Provider Enumeration Date | 04/10/2013 |
| Last Update Date | 04/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538502323 | NPI | - | NPPES |
| NMB2493 | Other | NM | MEDICARE |
| 01753746 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I-06714 (New Mexico) | Primary |
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