| Behavioral Medicine And Assessment Of New Mexico Llc | |
|
3520 Calle Cuervo Nw Albuquerque NM 87114-9220 | |
| (505) 302-1492 | |
| Not Available |
| Full Name | Behavioral Medicine And Assessment Of New Mexico Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3520 Calle Cuervo Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Aaron Kimball Haslam (MANAGER/PSYCHOLOGIST) |
| Authorized Official Contact | 5053021492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Medicine And Assessment Of New Mexico Llc Po Box 45121 Rio Rancho NM 87174-5121 Ph: (505) 302-1492 | Behavioral Medicine And Assessment Of New Mexico Llc 3520 Calle Cuervo Nw Albuquerque NM 87114-9220 Ph: (505) 302-1492 |
| NPI Number | 1124637541 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Medicare PECOS PAC ID | 7113323189 |
|---|---|
| Medicare Enrollment ID | O20210831002417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124637541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Aaron Kimball Haslam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235784810 PECOS PAC ID: 8022414093 Enrollment ID: I20210901000132 |
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