Conyngham, Heather Ann
Conyngham, Heather Ann is an sole proprietor health care provider with primary practice located at 2527 Virginia St Ne Ste. A, Albuquerque NM 87110-4692. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Conyngham, Heather Ann can be contacted via phone (505) 291-6314.Contact Information
Primary practice address
2527 Virginia St Ne Ste. A
Albuquerque NM 87110-4692
Phone: (505) 291-6314
Fax: (505) 275-0296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0899 | New Mexico |
Profile Details
| NPI number | 1245305606 |
|---|---|
| LBN Legal business name | Conyngham, Heather Ann |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245305606 | NPPES |
| New Mexico | MEDICAID | 75439875 |
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