Caitlin Scott Gallegos

Individual provider Active NPI Psychologist · Albuquerque, NM

NPI 1194256263 · NPPES record last updated Oct 19, 2020

Key facts

NPI
1194256263
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
Practice address
1501 San Pedro Dr SE
Albuquerque, NM 87108-5153
Phone
(505) 265-1711
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Yes

Addresses

Primary practice location

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Mailing address

1501 San Pedro Dr SE
Albuquerque, NM 87108-5180
Phone (505) 265-1711

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Psychologist in New Mexico

Sources for this page

Verify at the official NPI Registry.