Organization
SACRED SOUL PSYCHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN JOAN RAHIMA SCHMALL PHD (OWNER)
(707) 318-4470
Entity
Organization
Contact information
Practice address
4362 VILLAGE LOOP, SANTA FE, NM 87507-1833
(707) 318-4470
(707) 637-8313
Mailing address
4362 VILLAGE LOOP, SANTA FE, NM 87507-1833
(707) 318-4470
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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