NEW MEXICO PSYCHOLOGICAL SERVICES, P.C.
Clinical Neuropsychologist
Farmington, New Mexico
Provider NPI: 1801994728
Organization Information:Organization Name: NEW MEXICO PSYCHOLOGICAL SERVICES, P.C.
Organization is not Subpart
Authorized Official: ROBERT EDWARD SHERRILL, JR. PRESIDENT 505-3277777
Practice Location:
701 W APACHE ST FARMINGTON, NM 87401 US
Tel: 505-327-7777 Fax: 505-327-7779
Business Mailing Address:
701 W APACHE ST FARMINGTON, NM 87401 US
Tel: 505-327-7777 Fax: 505-327-7779
Entity Type: Organization
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Organization is not Subpart
Authorized Official: ROBERT EDWARD SHERRILL, JR. PRESIDENT 505-3277777
Practice Location:
701 W APACHE ST FARMINGTON, NM 87401 US
Tel: 505-327-7777 Fax: 505-327-7779
Business Mailing Address:
701 W APACHE ST FARMINGTON, NM 87401 US
Tel: 505-327-7777 Fax: 505-327-7779
Entity Type: Organization
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | NM | 142 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
N7935 | NM | 05 | |
BLUE CROSS | N850 | NM | 01 |
PRESBYTERIAN HEALTH PLAN | 25747 | NM | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin