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Individual

DR. NANCY N SALLEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
1395 MISSOURI AVE, LAS CRUCES, NM 88001-5327
(575) 522-5466
(575) 521-8611
Mailing address
1395 MISSOURI AVE, LAS CRUCES, NM 88001-5327
(575) 522-5466
(575) 521-8611

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
521
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000N8486
NM
01
13507182
CAQH
01
1962530121
NATIONAL PROVIDER IDENTIFIER NUMBER
NM
01
220147
EDUCATIONAL PSYCHOLOGIST IIIA
NM
01
434659
PTAN (MEDICARE NOVITAS)
NM
01
601013663
PRESBYTERIAN/MAGELLAN
NM
01
920579500
BLUE CROSS BLUE SHIELD
NM
Enumeration date
03/01/2007
Last updated
09/26/2015
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