Organization
ALBUQUERQUE NEUROPSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GORMAN PH.D. (NEUROPSYCHOLOGIST)
(505) 450-7804
Entity
Organization
Contact information
Practice address
1201 LOMAS BLVD NW STE C, ALBUQUERQUE, NM 87102-1894
(505) 431-5861
Mailing address
3212 VISTA DEL SUR ST NW, ALBUQUERQUE, NM 87120-1512
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
07/01/2024
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