Sylvia Salzer

Individual provider Active NPI School Psychologist · Aztec, NM

NPI 1659550804 · NPPES record last updated Oct 24, 2007

Key facts

NPI
1659550804
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
097000 (NM)
Practice address
1607 W Aztec Blvd
Aztec, NM 87410-1805
Phone
(505) 334-3695
Fax
(505) 599-4388
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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
097000NMMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aztec Municipal Schools Past Accepting new patients
Aztec Municipal School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 097000 NM Yes

Addresses

Primary practice location

1607 W Aztec Blvd
Aztec, NM 87410-1805

Mailing address

1607 W Aztec Blvd
Aztec, NM 87410-1805
Phone (505) 334-3695

Other providers in Aztec, NM

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

Sources for this page

Verify at the official NPI Registry.