Region Ix Education Cooperative

NPI #1245312719 in Ruidoso, New Mexico

Provider Information

NPI Number: 1245312719
Entity Type: Organization
Organization Name: Region Ix Education Cooperative
Primary Specialty: Psychologist - School
Enumeration Date: Oct 20, 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 SERVICES TECHNICIAN
Phone: (505) 257-2368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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