Sandy Etigson
Individual provider Active NPI School Psychologist · Mescalero, NM
NPI 1841404605 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1841404605
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 2458 (NM)
- Practice address
- 249 White Mountain Dr
Mescalero, NM 88340-9622 - Phone
- (505) 464-4431
- Fax
- (505) 464-4822
- NPI assigned
- May 10, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2458 | NM | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2458 | NM | Yes |
Addresses
Primary practice location
249 White Mountain Dr
Mescalero, NM 88340-9622
Mailing address
249 White Mountain Dr
Mescalero, NM 88340-9622
Phone (505) 464-4431
Other providers in Mescalero, NM
- Suzanna Duran
- Jean L Dutra
- Autumn Lynn Enjady
- Pedro Ivan Espinoza
- Carol Esquibel
- Pamela Rose Evans
- Kathlyn Marie Eydenberg
- Alexie Anne Gaines
- Joshua Raymond Galloupe
- Natell Rae Geronimo
All providers in Mescalero, 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.