Organization
NEUROPSYCHOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J CHIULLI PH.D. (PRESIDENT -NEUROPSYCHOLOGIST)
(505) 889-0426
Entity
Organization
Contact information
Practice address
2201 SAN PEDRO DR NE, BUILDING 1, SUITE 215, ALBUQUERQUE, NM 87110-4133
(505) 889-0426
(505) 883-7304
Mailing address
2201 SAN PEDRO DR NE, BUILDING 1, SUITE 215, ALBUQUERQUE, NM 87110-4133
(505) 889-0426
(505) 883-7304
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201001748
PRESBYTERIAN HEALTH PLAN
NM
01
—
201011047
PRESBYTERIAN HEALTH PLAN
NM
01
—
7395
LOVELACE HEALTH PLAN
NM
01
—
NM00NB60
BLUE CROSS
NM
Enumeration date
03/26/2007
Last updated
07/07/2008
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