Northern New Mexico Neuropsychology LLC
NPI #1487910402 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1487910402
- Entity Type
- Organization
- Organization Name
- Northern New Mexico Neuropsychology LLC
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Apr 3, 2012
- Last Updated
- Aug 11, 2016
Practice Location
- Address
- 1911 5TH ST STE 211
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-5403
- Phone
- (505) 490-9049
Authorized Official
- Name
- LAUREN PARKS, PHD
- Title
- DIRECTOR
- Phone
- (505) 490-9049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Clinical Neuropsychologist |
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