Paul D Phillip, | |
1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | |
(505) 994-1229 | |
Not Available |
Full Name | Paul D Phillip |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1207 Golf Course Rd Ne, Rio Rancho, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447875133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (New Mexico) | Primary |
Entity Name | Pueblo Of Isleta |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194738328 PECOS PAC ID: 9739080631 Enrollment ID: O20040616000379 |
Mailing Address | Practice Location Address |
---|---|
Paul D Phillip, 527 Brianna Loop Ne, Albuquerque, NM 87113-1479 Ph: (505) 414-4029 | Paul D Phillip, 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 Ph: (505) 994-1229 |
Jennifer Marie Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 Quantum Rd Ne, Rio Rancho, NM 87124 Phone: 505-994-9178 | |
Donny Raymond Pospishil-irizarry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 Quantum Rd Ne, Rio Rancho, NM 87124 Phone: 505-994-9178 Fax: 505-896-0478 | |
Gary Allen Ritter, LPCC, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Barbara Loop Se, Rio Rancho, NM 87124 Phone: 505-702-8547 | |
Janice Norman, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 Quantum Rd Ne, Rio Rancho, NM 87124 Phone: 505-994-9178 | |
Lorrissa Short, LSAA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Unser Blvd Se Ste C, Rio Rancho, NM 87124 Phone: 505-636-6100 | |
Sulema Perales, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 Golf Course Rd Se Ste D, Rio Rancho, NM 87124 Phone: 505-419-8885 Fax: 505-212-0041 | |
Mr. Kenneth Lee Davis, CPSW, CPSC, MSD, DD Counselor Medicare: Not Enrolled in Medicare Practice Location: 184 Unser Blvd Ne, Rio Rancho, NM 87124 Phone: 505-896-0928 Fax: 504-994-0209 |