Organization
ANCHORED THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO ORTIZ (CREDENTIALING MANAGER)
(575) 707-8150
Entity
Organization
Contact information
Practice address
2601 WYOMING BLVD NE STE 116, ALBUQUERQUE, NM 87112-1000
(505) 633-0643
Mailing address
8226 MENAUL BLVD NE # 623, ALBUQUERQUE, NM 87110-4614
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
10/02/2024
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