| Mimbres Psychological Services | |
|
2811 Indian School Rd Ne Albuquerque NM 87106-1825 | |
| (505) 358-0087 | |
| Not Available |
| Full Name | Mimbres Psychological Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2811 Indian School Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Miriam Whittam (PRACTICE MANAGER) |
| Authorized Official Contact | 5053580087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mimbres Psychological Services 2811 Indian School Rd Ne Albuquerque NM 87106-1825 Ph: (505) 358-0087 | Mimbres Psychological Services 2811 Indian School Rd Ne Albuquerque NM 87106-1825 Ph: (505) 358-0087 |
| NPI Number | 1104578319 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104578319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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