Neuropsychological Services Of New Mexico, Llc | |
10110 Spain Rd Ne Albuquerque NM 87111-1965 | |
(505) 404-9395 | |
(505) 299-4740 |
Full Name | Neuropsychological Services Of New Mexico, Llc |
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Speciality | Psychologist |
Location | 10110 Spain Rd Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | John Harold King (DIRECTOR) |
Authorized Official Contact | 5054049395 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuropsychological Services Of New Mexico, Llc 10110 Spain Rd Ne Albuquerque NM 87111-1965 Ph: (505) 404-9395 | Neuropsychological Services Of New Mexico, Llc 10110 Spain Rd Ne Albuquerque NM 87111-1965 Ph: (505) 404-9395 |
NPI Number | 1326115049 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 05/27/2021 |
Certification Date | 05/27/2021 |
Medicare PECOS PAC ID | 3577564947 |
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Medicare Enrollment ID | O20070127000018 |
Identifier | Type | State | Issuer |
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1326115049 | NPI | - | NPPES |
Provider Name | John H King |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1811977325 PECOS PAC ID: 8022098441 Enrollment ID: I20070127000017 |
Provider Name | Shannon Laura Lundy |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477895209 PECOS PAC ID: 4082853817 Enrollment ID: I20130626000726 |
Provider Name | Robert Frost |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437550415 PECOS PAC ID: 2668799982 Enrollment ID: I20150326000536 |
Provider Name | Jeffrey Lynn Young |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831596451 PECOS PAC ID: 7113234758 Enrollment ID: I20150915002393 |
Provider Name | Kristina N Dumas |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1124529557 PECOS PAC ID: 1850654799 Enrollment ID: I20180406000761 |
Provider Name | Jennifer Grace Walter |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1104171792 PECOS PAC ID: 6406276096 Enrollment ID: I20201020003903 |
Provider Name | Shelley M Rowland |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1326295957 PECOS PAC ID: 2860550407 Enrollment ID: I20220719000328 |
Provider Name | Leigha Nicole Slater |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1942653936 PECOS PAC ID: 6608223144 Enrollment ID: I20231106002179 |
Provider Name | Roberto Caze |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922478031 PECOS PAC ID: 0446600621 Enrollment ID: I20231229002726 |
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