| NPI | 1528357514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY LEIPHART Neuropsychologist 505-797-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NM 1110) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-04-11 |