Holly Elizabeth Burns

Individual provider Active NPI School Psychologist · Bloomfield, NM

NPI 1285328732 · NPPES record last updated Jun 7, 2023

Key facts

NPI
1285328732
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
408237 (NM)
Practice address
520 N 1St St
Bloomfield, NM 87413-5307
Phone
(505) 632-4300
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
408237NMMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 408237 NM Yes

Addresses

Primary practice location

520 N 1St St
Bloomfield, NM 87413-5307

Mailing address

520 N 1St St
Bloomfield, NM 87413-5307
Phone (505) 632-4300

Other providers in Bloomfield, NM

All providers in Bloomfield, NM · School Psychologist in New Mexico

Sources for this page

Verify at the official NPI Registry.