| Zia Behavioral Health, Llp | |
|
2504 Camino Entrada Santa Fe NM 87507-4851 | |
| (505) 820-0262 | |
| (505) 820-9220 |
| Full Name | Zia Behavioral Health, Llp |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 2504 Camino Entrada, Santa Fe, New Mexico |
| Authorized Official Name and Position | Shannon W Freedle (MANAGING PARTNER) |
| Authorized Official Contact | 5058200262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zia Behavioral Health, Llp Po Box 28220 Santa Fe NM 87592-8220 Ph: (505) 820-0262 | Zia Behavioral Health, Llp 2504 Camino Entrada Santa Fe NM 87507-4851 Ph: (505) 820-0262 |
| NPI Number | 1316059314 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316059314 | NPI | - | NPPES |
| 28178751 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 06-03806 (New Mexico) | Primary |
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