| Ms Phyllis Pine, | |
|
1000 E Aztec Ave, Gallup, NM 87301-5509 | |
| (505) 721-1800 | |
| Not Available |
| Full Name | Ms Phyllis Pine |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 1000 E Aztec Ave, Gallup, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417174848 | NPI | - | NPPES |
| 47809876 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 257139 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Phyllis Pine, 222 Nizhoni Blvd Apt E4, Gallup, NM 87301-5764 Ph: (505) 793-2727 | Ms Phyllis Pine, 1000 E Aztec Ave, Gallup, NM 87301-5509 Ph: (505) 721-1800 |
Belinda Cross, MS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1828 | |
Sharna J Sutherin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1396 | |
Mary Lindenmeyer, LPCC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, P. O. 1318, Gallup, NM 87301 Phone: 505-722-4101 | |
Dr. Marita Delaney, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 | |
Matthew Dennis Jones, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1396 | |
Dr. Mary S Loescher, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800 |