| Dynamic Therapy Services Of Northern New Mexico | |
|
1300 Luisa St Ste 7 Santa Fe NM 87505-4177 | |
| (505) 636-6550 | |
| Not Available |
| Full Name | Dynamic Therapy Services Of Northern New Mexico |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1300 Luisa St Ste 7, Santa Fe, New Mexico |
| Authorized Official Name and Position | Benjamin Greenberg (OWNER/DIRECTOR) |
| Authorized Official Contact | 5056366550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Therapy Services Of Northern New Mexico 50 Verano Loop Santa Fe NM 87508-8827 Ph: (505) 629-6853 | Dynamic Therapy Services Of Northern New Mexico 1300 Luisa St Ste 7 Santa Fe NM 87505-4177 Ph: (505) 636-6550 |
| NPI Number | 1992418370 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 01/02/2023 |
| Certification Date | 12/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992418370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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