| Marjean Spayer Phd Pc | |
|
3003 Hillrise Dr Suite B-2 Las Cruces NM 88011-4897 | |
| (505) 521-4800 | |
| (505) 521-6399 |
| Full Name | Marjean Spayer Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3003 Hillrise Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | Marjean Spayer (PRESIDENT) |
| Authorized Official Contact | 5055214800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marjean Spayer Phd Pc Po Box 13242 Las Cruces NM 88013-3242 Ph: (505) 521-4800 | Marjean Spayer Phd Pc 3003 Hillrise Dr Suite B-2 Las Cruces NM 88011-4897 Ph: (505) 521-4800 |
| NPI Number | 1407049950 |
|---|---|
| Provider Enumeration Date | 08/18/2007 |
| Last Update Date | 08/18/2007 |
| Medicare PECOS PAC ID | 4385736461 |
|---|---|
| Medicare Enrollment ID | O20070821000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407049950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 577 (New Mexico) | Primary |
| Provider Name | Marjean S Spayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518027499 PECOS PAC ID: 6305938481 Enrollment ID: I20070821000208 |
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