| North Star Psychiatric Services Llc | |
|
195 East Road Suite 104 Los Alamos NM 87544-4301 | |
| (505) 412-7756 | |
| (505) 662-8859 |
| Full Name | North Star Psychiatric Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 195 East Road Suite 104, Los Alamos, New Mexico |
| Authorized Official Name and Position | Susan R Morales (BUSINESS MANAGER) |
| Authorized Official Contact | 5056636220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Psychiatric Services Llc North Star Psychiatric Services Llc 195 East Road Suite 104 Los Alamos NM 87544-4301 Ph: (505) 412-7756 | North Star Psychiatric Services Llc 195 East Road Suite 104 Los Alamos NM 87544-4301 Ph: (505) 412-7756 |
| NPI Number | 1245945716 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245945716 | NPI | - | NPPES |
| 067620752 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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