Montoya, Sandra
Montoya, Sandra is an sole proprietor health care provider with primary practice located at 3900 Juan Tabo Blvd Ne Suite 11, Albuquerque NM 87111-3984. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Montoya, Sandra can be contacted via phone (505) 275-6457.Contact Information
Primary practice address
3900 Juan Tabo Blvd Ne Suite 11
Albuquerque NM 87111-3984
Phone: (505) 275-6457
Fax: (505) 298-3939
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 640 | New Mexico |
Profile Details
NPI number | 1447314091 |
---|---|
LBN Legal business name | Montoya, Sandra |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 20th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1447314091 | NPPES |
New Mexico | MEDICAID | F3863 |
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