Bobby N. Holstead, Phd, Llc

LBN: Bobby N. Holstead, Phd, Llc
Bobby N. Holstead, Phd, Llc is an health care organization with primary practice located at 9426 Indian School Rd Ne Suite 1, Albuquerque NM 87112-2887. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Bobby N. Holstead, Phd, Llc can be contacted via phone (505) 344-9500, or through Holstead, Bobby N. via phone (505) 344-9500.

Contact Information

Primary practice address
9426 Indian School Rd Ne Suite 1 Albuquerque NM 87112-2887
Phone: (505) 344-9500
Fax: (866) 808-7651
Website:
Map and Directions
Authorized official contact:
Name: Holstead, Bobby N. PH.D.
Phone: (505) 344-9500

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 214 New Mexico

Profile Details

NPI number 1962532648
LBN Legal business name Bobby N. Holstead, Phd, Llc
DBA Doing business as
Authorized official Holstead, Bobby N. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Oct 8th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962532648 NPPES
New Mexico MEDICAID N6176

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