Telemental Health Link -nm | |
5700 Harper Dr Ne Ste 210-4 Albuquerque NM 87109-3573 | |
(208) 775-7418 | |
(208) 768-4500 |
Full Name | Telemental Health Link -nm |
---|---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5700 Harper Dr Ne Ste 210-4, Albuquerque, New Mexico |
Authorized Official Name and Position | Susan M Derivas (AO) |
Authorized Official Contact | 2087757418 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Telemental Health Link -nm 4055 E Blueberry St Meridian ID 83642-8261 Ph: (208) 775-7418 | Telemental Health Link -nm 5700 Harper Dr Ne Ste 210-4 Albuquerque NM 87109-3573 Ph: (208) 775-7418 |
NPI Number | 1972367290 |
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Provider Enumeration Date | 02/07/2024 |
Last Update Date | 02/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972367290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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