J. Michael Mash Prescribing Psychologist Llc | |
4155 State Road 68 Unit 6 Rancho De Taos NM 87557 | |
(575) 776-7432 | |
Not Available |
Full Name | J. Michael Mash Prescribing Psychologist Llc |
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Speciality | Psychologist - Prescribing (medical) |
Location | 4155 State Road 68, Rancho De Taos, New Mexico |
Authorized Official Name and Position | James Mash (OWNER/PH.D.) |
Authorized Official Contact | 5757767432 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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J. Michael Mash Prescribing Psychologist Llc Po Box 94508 Albuquerque NM 87199-4508 Ph: (505) 384-7352 | J. Michael Mash Prescribing Psychologist Llc 4155 State Road 68 Unit 6 Rancho De Taos NM 87557 Ph: (575) 776-7432 |
NPI Number | 1154877371 |
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Provider Enumeration Date | 08/28/2016 |
Last Update Date | 08/28/2016 |
Identifier | Type | State | Issuer |
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1154877371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TP0016X | Psychologist - Prescribing (medical) | 609 (New Mexico) | Primary |