| J. Michael Mash Prescribing Psychologist Llc | |
|
4155 State Road 68 Unit 6 Rancho De Taos NM 87557 | |
| (575) 776-7432 | |
| Not Available |
| Full Name | J. Michael Mash Prescribing Psychologist Llc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 4155 State Road 68, Rancho De Taos, New Mexico |
| Authorized Official Name and Position | James Mash (OWNER/PH.D.) |
| Authorized Official Contact | 5757767432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Michael Mash Prescribing Psychologist Llc Po Box 94508 Albuquerque NM 87199-4508 Ph: (505) 384-7352 | J. Michael Mash Prescribing Psychologist Llc 4155 State Road 68 Unit 6 Rancho De Taos NM 87557 Ph: (575) 776-7432 |
| NPI Number | 1154877371 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154877371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 609 (New Mexico) | Primary |