Organization
SOUTHWEST NEUROPSYCHOLOGY AND BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN RYAN KURTYKA PH.D. (ORGANIZER)
(505) 247-4900
Entity
Organization
Contact information
Practice address
320 GOLD AVE SW, SUITE 1001, ALBUQUERQUE, NM 87102-3202
(505) 247-4900
Mailing address
320 GOLD AVE SW, SUITE 1001, ALBUQUERQUE, NM 87102-3202
(505) 247-4900
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1148
NM
103TC0700X
Clinical Psychologist
1148
NM
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
02/28/2011
Last updated
08/23/2023
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