Laura Veronica Oaxaca Jr., M. A.

Individual provider Active NPI School Psychologist · Bayard, NM

NPI 1629107149 · NPPES record last updated Jul 8, 2007

Key facts

NPI: 1629107149
Entity type: Individual (NPI type 1)
Primary specialty: School Psychologist 103TS0200X
License: 285262 (NM)
Practice address: 900 Central
Bayard, NM 88023
Phone: (505) 537-4000
Fax: (505) 537-3921
NPI assigned: Mar 2, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Cobre Consolidated Schools Local Education Agency (LEA) · Bayard, NM · NPI 1477683316

NPD (past)

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 Arts

State licenses

License	State	Type	Specialty
285262	NM	MD	School Psychologist

Practice roles

Organization	Specialty	Status	New patients
Cobre Consolidated Schools		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
School Psychologist	103TS0200X	285262	NM	Yes

Addresses

Primary practice location

900 Central
Bayard, NM 88023

Mailing address

1306 North Loop
Silver City, NM 88061-7204
Phone (505) 939-9066

Other identifiers

Identifier	Type	State	Issuer
36950017	Medicaid	NM

Other providers in Bayard, NM

All providers in Bayard, 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 Jul 8, 2007. 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.

Verify at the official NPI Registry.