Starkenburg Psychological Services, Llc | |
3250 Trinity Dr Ste D4 Los Alamos NM 87544-2226 | |
(505) 662-0468 | |
Not Available |
Full Name | Starkenburg Psychological Services, Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 3250 Trinity Dr Ste D4, Los Alamos, New Mexico |
Authorized Official Name and Position | Diane Starkenburg (PRESIDENT) |
Authorized Official Contact | 5056620468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Starkenburg Psychological Services, Llc 3250 Trinity Dr Ste D4 Los Alamos NM 87544-2226 Ph: (505) 662-0468 | Starkenburg Psychological Services, Llc 3250 Trinity Dr Ste D4 Los Alamos NM 87544-2226 Ph: (505) 662-0468 |
NPI Number | 1265814255 |
---|---|
Provider Enumeration Date | 06/25/2015 |
Last Update Date | 06/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265814255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1134 (New Mexico) | Primary |
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