| High Plains Neuropsychology Associates Pc | |
|
1101 Douglas Ave Las Vegas NM 87701-3932 | |
| (505) 429-4679 | |
| Not Available |
| Full Name | High Plains Neuropsychology Associates Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1101 Douglas Ave, Las Vegas, New Mexico |
| Authorized Official Name and Position | Gerald Russell (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 5054294679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Plains Neuropsychology Associates Pc Po Box 1705 Las Vegas NM 87701-1705 Ph: () - | High Plains Neuropsychology Associates Pc 1101 Douglas Ave Las Vegas NM 87701-3932 Ph: (505) 429-4679 |
| NPI Number | 1780916130 |
|---|---|
| Provider Enumeration Date | 02/10/2010 |
| Last Update Date | 03/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780916130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 761 (New Mexico) | Primary |
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