| Psychogenesis | |
|
3900 Eubank Blvd Ne Ste 18 Albuquerque NM 87111-3427 | |
| (505) 585-3744 | |
| Not Available |
| Full Name | Psychogenesis |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3900 Eubank Blvd Ne Ste 18, Albuquerque, New Mexico |
| Authorized Official Name and Position | Javier Vera (OWNER) |
| Authorized Official Contact | 5055853744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychogenesis Po Box 93274 Albuquerque NM 87199-3274 Ph: () - | Psychogenesis 3900 Eubank Blvd Ne Ste 18 Albuquerque NM 87111-3427 Ph: (505) 585-3744 |
| NPI Number | 1922646595 |
|---|---|
| Provider Enumeration Date | 12/14/2019 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922646595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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