Organization
NEW MEXICO PSYCHOLOGICAL SERVICES, P.C.
Active
Organization
NEW MEXICO PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EDWARD SHERRILL, JR. PHD (PRESIDENT)
(505) 327-7777
Entity
Organization
Contact information
Practice address
701 W APACHE ST, FARMINGTON, NM 87401-5511
(505) 327-7777
(505) 327-7779
Mailing address
701 W APACHE ST, FARMINGTON, NM 87401-5511
(505) 327-7777
(505) 327-7779
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
142
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25747
PRESBYTERIAN HEALTH PLAN
NM
05
—
N7935
—
NM
01
—
N850
BLUE CROSS
NM
Enumeration date
09/21/2006
Last updated
08/22/2020
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