Organization
BARBARA KOLTUSKA, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA KOLTUSKA-HASKIN PH.D. (PRESIDENT)
(505) 292-5003
Entity
Organization
Contact information
Practice address
11927 MENAUL BLVD NE STE 107, ALBUQUERQUE, NM 87112-2457
(505) 292-5003
(505) 292-5003
Mailing address
11927 MENAUL BLVD NE STE 107, ALBUQUERQUE, NM 87112-2457
(505) 292-5003
(505) 292-5003
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
580
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N5851
—
NM
Enumeration date
12/04/2006
Last updated
08/22/2020
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