Organization
SOUTHWEST NEUROPSYCHOLOGY & BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY EDWARDS (OFFICE MANAGER)
(505) 247-4900
Entity
Organization
Contact information
Practice address
320 GOLD AVE SW STE 1001, ALBUQUERQUE, NM 87102-3228
(505) 247-4900
Mailing address
320 GOLD AVE SW STE 101, ALBUQUERQUE, NM 87102-3202
(505) 247-4900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-07571
NM
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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