Region Ix Education Cooperative
NPI #1164506440 in Ruidoso, New Mexico
Provider Information
- NPI Number
- 1164506440
- Entity Type
- Organization
- Organization Name
- Region Ix Education Cooperative
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1400 SUDDERTH DR
- City
- Ruidoso
- State
- New Mexico
- ZIP Code
- 88345-6103
- Phone
- (505) 257-2368
Authorized Official
- Name
- EVELYN SANCHEZ
- Title
- MEDICAID TECHNICIAN
- Phone
- (505) 257-2368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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