Deer Oaks Southwest in Albuquerque - Clinical
Deer Oaks Southwest - NPI 1831354620
Deer Oaks Southwest is a Clinical in Albuquerque, New Mexico. Deer Oaks Southwest practices all healthcare services and medical treatments related to Clinical. The NPI Number for Deer Oaks Southwest is 1831354620. The last update date is 2009-02-05.
Deer Oaks Southwest's current location address is 1112 San Pedro Dr Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052543505 and fax number 2105939863. The mailing address for Deer Oaks Southwest is 1112 San Pedro Dr Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Deer Oaks Southwest |
|---|---|
| Address | 1112 San Pedro Dr Ne, Albuquerque, New Mexico |
| Phone Number | 5052543505 |
| Fax Number | 2105939863 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Boskind Alan Paul |
| Credentials | PH.D. |
| Telephone Number | 2106153472 |
NPI Number Detail
| NPI Number | 1831354620 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2009-02-05 |
Provider Mailing Address Detail
| Address | 1112 San Pedro Dr Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871106724 |
| Phone Number | 5052543505 |
| Fax Number | 2105939863 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 382270 | AZ | -- |
Post Comment/ Review Below
What is the Deer Oaks Southwest's unique identification number?
The Deer Oaks Southwest has been assigned the NPI (National Provider Identifier) Number 1831354620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Deer Oaks Southwest's facilities are geographically located?
The facilities of Deer Oaks Southwest are physically situated at the following location: 1112 San Pedro Dr Ne, Albuquerque, NM, 871106724.
What is the Deer Oaks Southwest's specialty and taxonomy code?
The Deer Oaks Southwest's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1831354620 to Deer Oaks Southwest?
The Centers for Medicare & Medicaid Services assigned the 1831354620 to Deer Oaks Southwest on 2008-07-22.
As of what date were the details related to Deer Oaks Southwest most recently updated or revised?
The information pertaining to Deer Oaks Southwest, including its address, specialty, and other relevant details, was last updated or revised on 2009-02-05.
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