Ideal Self Therapy LLC
NPI #1386447936 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1386447936
- Entity Type
- Organization
- Organization Name
- Ideal Self Therapy LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Mar 29, 2025
- Last Updated
- Mar 29, 2025
Practice Location
- Address
- 720 8TH ST NE
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124-0791
- Phone
- (505) 226-2191
Authorized Official
- Name
- DR. LEAH BOGUSCH, PHD
- Title
- OWNER
- Phone
- (505) 226-2191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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