Koltuska, Barbara
Koltuska, Barbara is an individual health care provider with primary practice located at 11927 Menaul Blvd Ne Ste 107 , Albuquerque NM 87112-2457. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Koltuska, Barbara can be contacted via phone (505) 292-5003.Contact Information
Primary practice address
11927 Menaul Blvd Ne Ste 107
Albuquerque NM 87112-2457
Phone: (505) 292-5003
Fax: (505) 275-9303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 580 | New Mexico |
Profile Details
| NPI number | 1114070794 |
|---|---|
| LBN Legal business name | Koltuska, Barbara |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 19th, 2022 - about 3 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 | 1114070794 | NPPES |
| New Mexico | MEDICAID | N5851 |
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