Organization
A(PLUS) EDUCATIONAL DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA R MARTINEZ M.ED. (OWNER)
(575) 779-1736
Entity
Organization
Contact information
Practice address
11 GERONIMO LANE, ARROYO SECO, NM 87514
(575) 779-1736
Mailing address
PO BOX 695, ARROYO SECO, NM 87514-0695
(575) 779-1736
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
251283
NM
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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