Organization
SOUTHWEST NEUROPSYCHOLOGY AND BEHAVIORAL HEALTH, LLC
Active
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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