| Santa Fe Psychological Services Llc | |
|
1807 2nd St Suite 44 Santa Fe NM 87505-3499 | |
| (505) 577-2607 | |
| (505) 982-1096 |
| Full Name | Santa Fe Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1807 2nd St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Ernesto Felix Santistevan (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5055772607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Psychological Services Llc 1000 Cordova Pl #548 Santa Fe NM 87505-1725 Ph: (505) 577-2607 | Santa Fe Psychological Services Llc 1807 2nd St Suite 44 Santa Fe NM 87505-3499 Ph: (505) 577-2607 |
| NPI Number | 1396950390 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 07/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396950390 | NPI | - | NPPES |
| Z0874 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 688 (New Mexico) | Primary |
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