Whalio Doctors

NPI 1487910402

Northern New Mexico Neuropsychology LLC

Organisation Clinical Neuropsychologist Santa Fe, NM

Practice location

Address
1911 5th St STE 211, Santa Fe, NM 87505-5403
Phone
(505) 490-9049

Authorised official

Name
Lauren Parks
Title
Director
Phone
(505) 490-9049

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1183 (NM)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1183 (NM)

Registry record

NPI
1487910402
Entity type
Organization
NPI issued
3 Apr 2012
Record last updated
11 Aug 2016

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.