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NORTHERN NEW MEXICO NEUROPSYCHOLOGY LLC NPI 1487910402


NPI Information

NPI: 1487910402
Provider Name: NORTHERN NEW MEXICO NEUROPSYCHOLOGY LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
1911 5TH ST STE 211
SANTA FE, NM
ZIP 87505
Phone: (505) 490-9049
Get Directions

NORTHERN NEW MEXICO NEUROPSYCHOLOGY LLC is a clinical neuropsychologist in Santa Fe, 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. NORTHERN NEW MEXICO NEUROPSYCHOLOGY LLC NPI is 1487910402. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1911 5TH ST STE 211
SANTA FE, NM
ZIP 87505-403
Phone: (505) 490-9049

The provider's authorized official is Lauren Parks .
The authorized official title is Director and has the following contact phone number (505) 490-9049.

The enumeration date for this NPI number is 4/3/2012 and was last updated on 8/11/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical1183NEW MEXICONo
2103G00000XClinical Neuropsychologist1183NEW MEXICOYes

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: 4/28/2024

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