Simon, Sara
Simon, Sara is an individual health care provider with primary practice located at 2600 Marble Ne , Albuquerque NM 87131-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Simon, Sara can be contacted via phone (505) 272-2190.Contact Information
Primary practice address
2600 Marble Ne
Albuquerque NM 87131-0001
Phone: (505) 272-2190
Fax: (505) 272-3466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2156 | New Mexico |
Profile Details
| NPI number | 1972573996 |
|---|---|
| LBN Legal business name | Simon, Sara |
| Credentials | PH.D., LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 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 | 1972573996 | NPPES |
| New Mexico | Other | 11460018 | CAQH PROVIDER ID |
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