Organization
SANDIA NEUROPSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY LEIPHART PSY.D. (NEUROPSYCHOLOGIST)
(505) 797-0810
Entity
Organization
Contact information
Practice address
7000 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4313
(505) 797-0810
Mailing address
PO BOX 3335, ALBUQUERQUE, NM 87190-3335
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1110
NM
Other
Enumeration date
03/31/2011
Last updated
04/11/2011
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