| NPI | 1902776719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LAURA LUNDY Clinical Neuropsychologist 505-373-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-06 |