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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NM142

Other Provider Identifiers:

IssuerNumberStateType
N7935NM05
BLUE CROSSN850NM01
PRESBYTERIAN HEALTH PLAN25747NM01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NM - Page 1



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