Teresa Quiroga

Individual provider Active NPI School Psychologist · Raton, NM

NPI 1669629655 · NPPES record last updated Aug 21, 2008

Key facts

NPI
1669629655
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
329265 (NM)
Practice address
101 N 2ND St
Raton, NM 87740-3803
Phone
(505) 445-7090
NPI assigned
Aug 21, 2008
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
329265NMMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Regional Educational Coop Past Accepting new patients
High Plains Regional Education Coop Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 329265 NM Yes

Addresses

Primary practice location

101 N 2ND St
Raton, NM 87740-3803

Mailing address

PO Box 982
La Veta, CO 81055-0982
Phone (719) 742-0219

Other providers in Raton, NM

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

Sources for this page

Verify at the official NPI Registry.