| Santa Fe Psychology, Llc | |
|
2204 Brothers Rd Suite B Santa Fe NM 87505-6975 | |
| (505) 795-5566 | |
| (505) 998-1362 |
| Full Name | Santa Fe Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2204 Brothers Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Brooke Roberts (OWNER) |
| Authorized Official Contact | 5057955566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Psychology, Llc 2204 Brothers Rd Suite B Santa Fe NM 87505-6975 Ph: (505) 795-5566 | Santa Fe Psychology, Llc 2204 Brothers Rd Suite B Santa Fe NM 87505-6975 Ph: (505) 795-5566 |
| NPI Number | 1962810150 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 08/15/2014 |
| Medicare PECOS PAC ID | 0547563058 |
|---|---|
| Medicare Enrollment ID | O20160115001612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962810150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
| Provider Name | Brooke Mae Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558649517 PECOS PAC ID: 1658674163 Enrollment ID: I20160115001558 |
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