| Carrie Nassif Phd Llc | |
|
10a Bad Dog Rd El Prado NM 87529-4402 | |
| (785) 623-4447 | |
| Not Available |
| Full Name | Carrie Nassif Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10a Bad Dog Rd, El Prado, New Mexico |
| Authorized Official Name and Position | Carrie Nassif (OWNER) |
| Authorized Official Contact | 7856234447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Nassif Phd Llc Po Box 1497 El Prado NM 87529-1497 Ph: (785) 623-4447 | Carrie Nassif Phd Llc 10a Bad Dog Rd El Prado NM 87529-4402 Ph: (785) 623-4447 |
| NPI Number | 1639918253 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 9234673930 |
|---|---|
| Medicare Enrollment ID | O20240705002005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639918253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carrie Lee Nassif |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518283258 PECOS PAC ID: 8123207644 Enrollment ID: I20240705002847 |
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