Organization
NEUROPSYCHOLOGICAL SERVICES OF NEW MEXICO, LLC
Active
Organization
NEUROPSYCHOLOGICAL SERVICES OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HAROLD KING PH.D. (DIRECTOR)
(505) 404-9395
Entity
Organization
Contact information
Practice address
10110 SPAIN RD NE, ALBUQUERQUE, NM 87111-1965
(505) 404-9395
(505) 299-4740
Mailing address
10110 SPAIN RD NE, ALBUQUERQUE, NM 87111-1965
(505) 404-9395
(505) 299-4740
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0969
NM
103TC0700X
Clinical Psychologist
0969
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
05/27/2021
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