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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