Richard Eaton, M.S.
Individual provider Active NPI School Psychologist · Moriarty, NM
NPI 1205187085 · NPPES record last updated Sep 20, 2012
Key facts
- NPI
- 1205187085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 351337 (NM)
- Practice address
- 200 Center Street
Moriarty, NM 87035-2000 - Phone
- (505) 832-4471
- NPI assigned
- Sep 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 351337 | NM | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moriarty Municipal School | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 351337 | NM | Yes |
Addresses
Primary practice location
200 Center Street
Moriarty, NM 87035-2000
Mailing address
200 Center Street
Moriarty, NM 87035-2000
Other providers in Moriarty, NM
- City of Moriarty
- Jennifer Como
- Cornerstone Integrated Health LLC
- Susan Rae Early
- Tammy Ann Eastham
- Laura E Edimo
- Jeremy Todd Edmonds
- Foundation for Change Integrated Health
- Fowler Enterprises Inc
- James Mark Fowler
All providers in Moriarty, NM · School Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.