Organization
COPPER KEY PSYCHOLOGY, LLC
Active
Other names
Sally Eden Moretti, Psy.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY EDEN MORETTI PSY.D. (OWNER/PSYCHOLOGIST)
(505) 933-1807
Entity
Organization
Contact information
Practice address
5920 CANYON VISTA DR NE, ALBUQUERQUE, NM 87111-6621
(505) 933-1807
(505) 856-1614
Mailing address
5920 CANYON VISTA DR NE, ALBUQUERQUE, NM 87111-6621
(505) 933-1807
(505) 856-1614
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1395
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12226203
—
NM
01
—
1982076402
NPI TYPE 1 - INDIVIDUAL
—
Enumeration date
08/03/2017
Last updated
09/30/2020
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