Organization
PSYCHOLOGICAL ASSESSMENT & TREATMENT CENTER, LLC
Active
Other names
Corrales Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA LOUISE SMITH PH.D. (MANAGING MEMBER)
(505) 440-3595
Entity
Organization
Contact information
Practice address
4313 CORRALES RD, CORRALES, NM 87048-8663
(505) 440-3595
(855) 690-6884
Mailing address
4313 CORRALES RD, CORRALES, NM 87048-8663
(505) 440-3595
(855) 690-6884
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
757
NM
103TB0200X
Cognitive & Behavioral Psychologist
333
NM
103TB0200X
Cognitive & Behavioral Psychologist
757
NM
103TC0700X
Clinical Psychologist
333
NM
103TC0700X
Clinical Psychologist
Primary
757
NM
103TC2200X
Clinical Child & Adolescent Psychologist
333
NM
103TC2200X
Clinical Child & Adolescent Psychologist
757
NM
103TH0004X
Health Psychologist
333
NM
103TS0200X
School Psychologist
757
NM
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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