Organization
SUNRISE PEDIATRIC NEUROPSYCHOLOGY, LLC
Active
Organization
SUNRISE PEDIATRIC NEUROPSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MORAN PHD (OWNER)
(505) 221-6214
Entity
Organization
Contact information
Practice address
4477 IRVING BLVD NW STE B, ALBUQUERQUE, NM 87114-5529
(505) 221-6214
(505) 298-4737
Mailing address
4477 IRVING BLVD NW STE B, ALBUQUERQUE, NM 87114-5529
(505) 221-6214
(505) 298-4737
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/08/2026
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