Organization
SANDRA L. MONTOYA, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA MONTOYA PH.D (PRESIDENT)
(505) 275-6457
Entity
Organization
Contact information
Practice address
3900 JUAN TABO BLVD NE, SUITE 11, ALBUQUERQUE, NM 87111-3984
(505) 275-6457
(505) 298-3939
Mailing address
3900 JUAN TABO BLVD NE, SUITE 11, ALBUQUERQUE, NM 87111-3984
(505) 275-6457
(505) 298-3939
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
640
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447314091
TYPE 1 NPI
NM
Enumeration date
03/30/2012
Last updated
03/30/2012
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