| Thrive Neuropsychology & Psychology | |
|
3 Caliente Rd Unit 1 Santa Fe NM 87508-9209 | |
| (323) 620-2834 | |
| Not Available |
| Full Name | Thrive Neuropsychology & Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 3 Caliente Rd Unit 1, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lara Heflin (OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3236202834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Neuropsychology & Psychology 28 Encantado Rd Santa Fe NM 87508-1394 Ph: (323) 620-2834 | Thrive Neuropsychology & Psychology 3 Caliente Rd Unit 1 Santa Fe NM 87508-9209 Ph: (323) 620-2834 |
| NPI Number | 1821789843 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/19/2023 |
| Medicare PECOS PAC ID | 9335509298 |
|---|---|
| Medicare Enrollment ID | O20230724003571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821789843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lara Heather Heflin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225337686 PECOS PAC ID: 0244690105 Enrollment ID: I20230810003338 |
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