Sherwood, Andrea Rae

Sherwood, Andrea Rae is an individual health care provider with primary practice located at 3400 Constitution Ave Ne Ste C , Albuquerque NM 87106-1243. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sherwood, Andrea Rae can be contacted via phone (505) 270-4242.

Contact Information

Primary practice address
3400 Constitution Ave Ne Ste C Albuquerque NM 87106-1243
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0929 New Mexico

Profile Details

NPI number 1396704193
LBN Legal business name Sherwood, Andrea Rae
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Aug 11th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396704193 NPPES
New Mexico MEDICAID 28984285

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