| Jumpstart, Llc | |
|
8500 Washington St Ne Ste A1 Albuquerque NM 87113-1861 | |
| (505) 633-8500 | |
| Not Available |
| Full Name | Jumpstart, Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 8500 Washington St Ne Ste A1, Albuquerque, New Mexico |
| Authorized Official Name and Position | Brian Lopez (MANAGING MEMBER) |
| Authorized Official Contact | 5058283837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jumpstart, Llc 8100 Wyoming Blvd Ne M-4 ,#406 Albuquerque NM 87113 Ph: (505) 828-3837 | Jumpstart, Llc 8500 Washington St Ne Ste A1 Albuquerque NM 87113-1861 Ph: (505) 633-8500 |
| NPI Number | 1477386852 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477386852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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