Organization
SANDIA NEUROPSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J THOMA PHD (OWNER)
(505) 270-4242
Entity
Organization
Contact information
Practice address
3400 CONSTITUTION NE, ALBUQUERQUE, NM 87106
(505) 270-4242
(505) 288-3579
Mailing address
3400 CONSTITUTION NE, ALBUQUERQUE, NM 87106
(505) 270-4242
(505) 288-3579
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0796
NM
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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