BARBARA KOLTUSKA PH.D. P.C. NPI 1477611341

NPI Information

  • NPI: 1477611341
  • Provider Name: BARBARA KOLTUSKA, PH.D., P.C.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 11927 MENAUL BLVD NE STE 107
    ALBUQUERQUE, NM
    ZIP 87112
  • Phone: (505) 292-5003

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NPI Details

BARBARA KOLTUSKA, PH.D., P.C. is a clinical neuropsychologist in Albuquerque, NM. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. BARBARA KOLTUSKA, PH.D., P.C. NPI is 1477611341. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11927 MENAUL BLVD NE STE 107
ALBUQUERQUE, NM
ZIP 87112-457
Phone: (505) 292-5003
Fax: (505) 292-5003

The provider's authorized official is Barbara Koltuska-haskin .
The authorized official title is President and has the following contact phone number (505) 292-5003.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist580NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1N5851MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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