Organization
SANTA FE PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO FELIX SANTISTEVAN PH.D. (CLINICAL DIRECTOR)
(505) 577-2607
Entity
Organization
Contact information
Practice address
1807 2ND ST, SUITE 44, SANTA FE, NM 87505-3499
(505) 577-2607
(505) 982-1096
Mailing address
1000 CORDOVA PL, #548, SANTA FE, NM 87505-1725
(505) 577-2607
(505) 982-1096
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
688
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z0874
—
NM
Enumeration date
05/11/2007
Last updated
07/31/2015
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