Individual
DR. SYLVIA R. NESBITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
49TH MEDICAL GROUP/SGOW, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 572-5676
(575) 572-2259
Mailing address
49TH MEDICAL GROUP/SGOW, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 572-5676
(575) 572-2259
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0795
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00JB47
BLUE CROSS BLUE SHIELD
NM
05
—
46226869
—
NM
01
—
74853
PRESBYTERIAN HEALTH PLAN
NM
Enumeration date
09/26/2006
Last updated
04/11/2018
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