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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