NPI 1104744655

Upstream Neuropsychology & Therapy Services LLC

Organisation Clinical Neuropsychologist Farmington, NM

Practice location

Address: 210 N Court Ave, Farmington, NM 87401-6941
Phone: (505) 407-5852

Authorised official

Name: Charles Daniel Marquez
Title: Owner/Neuropsychologist
Phone: (505) 407-5852

Registered specialties (3)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X

Other Clinical Neuropsychologist providers in New Mexico →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Other Psychologist providers in New Mexico →

Rehabilitation Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TR0400X

Registry record

NPI: 1104744655
Entity type: Organization
NPI issued: 9 Jul 2026
Record last updated: 10 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.