| Meta, Inc. | |
|
4813 Corrales Road Corrales NM 87048 | |
| (505) 898-5662 | |
| Not Available |
| Full Name | Meta, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 4813 Corrales Road, Corrales, New Mexico |
| Authorized Official Name and Position | Wayne Rowan Maes (PRESIDENT) |
| Authorized Official Contact | 5058985662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meta, Inc. Po Box 531 Corrales NM 87048-0531 Ph: () - | Meta, Inc. 4813 Corrales Road Corrales NM 87048 Ph: (505) 898-5662 |
| NPI Number | 1013207356 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 04/07/2011 |
| Medicare PECOS PAC ID | 9032462593 |
|---|---|
| Medicare Enrollment ID | O20181030002690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013207356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 266 (New Mexico) | Primary |
| 251S00000X | Community/behavioral Health | 266 (New Mexico) | Secondary |
| Provider Name | Wayne R Maes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780765990 PECOS PAC ID: 2466705942 Enrollment ID: I20181031000002 |
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